Individual
TRACY ELIZABETH TIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
925 S SEMORAN BLVD, WINTER PARK, FL 32792-5313
(407) 961-6297
Mailing address
126 OLEANDER ST, LAKE JACKSON, TX 77566-5620
(520) 306-1829
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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