Individual
MRS. TRACI A GERNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.R./L
Contact information
Practice address
1915 BISON LN, JOHNSBURG, IL 60051-5243
(815) 578-1715
Mailing address
1915 BISON LN, JOHNSBURG, IL 60051-5243
(815) 578-1715
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
02/11/2008
Last updated
02/11/2008
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