Individual
TRACY CALLIHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
127 BEAU PRE DR, MANDEVILLE, LA 70471-1527
(252) 523-2482
Mailing address
127 BEAU PRE DR, MANDEVILLE, LA 70471-1527
(122) 525-2324
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.Z11738
LA
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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