Individual
TRACEY BUTLER RIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3867 BAYOU ACRES DR, BASTROP, LA 71220-9232
(318) 283-2080
(318) 283-0606
Mailing address
3867 BAYOU ACRES DR, BASTROP, LA 71220-9232
(318) 283-2080
(318) 283-0606
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
Z12328
LA
Other
Enumeration date
06/08/2009
Last updated
06/08/2009
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