Individual
TRACY M STACKHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, OTR
Contact information
Practice address
90 MADISON ST, SUITE 202, DENVER, CO 80206-5418
(303) 333-8360
(303) 333-8380
Mailing address
90 MADISON ST, SUITE 202, DENVER, CO 80206-5418
(303) 333-8360
(303) 333-8380
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
09/23/2008
Last updated
09/23/2008
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