Individual
MISS TRACY RENEE HAYMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2366 ELLSWORTH ST, GARY, IN 46404-3300
(219) 924-0007
Mailing address
2366 ELLSWORTH ST, GARY, IN 46404-3300
(219) 924-0007
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004576A
IN
Other
Enumeration date
04/11/2008
Last updated
04/11/2008
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