Individual
TRACY R WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
411 E CHESTNUT ST # STREET2, LOUISVILLE, KY 40202-1713
(502) 588-0982
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
132534
KY
225X00000X
Occupational Therapist
R0687
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100324750
—
KY
Enumeration date
09/26/2006
Last updated
10/11/2020
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