Individual
CHRISTINA TRACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTL
Contact information
Practice address
101 LINCLIFF DR, GRANVILLE, OH 43023-9157
(614) 218-6050
Mailing address
101 LINCLIFF DR, GRANVILLE, OH 43023-9157
(614) 218-6050
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-05045
OH
Other
Enumeration date
01/28/2015
Last updated
01/28/2015
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