Individual
TRACEY FEEZOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 FAIRVIEW RD, THOUSAND OAKS, CA 91361-2456
(805) 494-1233
Mailing address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
(877) 787-3430
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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