Individual
TRACY BISIGNANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17470 BROOKSIDE TRACE CT, TAMPA, FL 33647-6201
(813) 437-9731
Mailing address
11905 PASCO TRAILS BLVD, SPRING HILL, FL 34610-4802
(813) 852-1315
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA16125
FL
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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