Individual
TRACI A DICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA 001465
Contact information
Practice address
585 N STATE ROUTE 741, LEBANON, OH 45036-3313
(513) 765-9624
Mailing address
10133 SHERRILL BLVD STE 200, KNOXVILLE, TN 37932-3347
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA001465
OH
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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