Individual
TRACIE WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2336 ANDREWS AVE, 2ND FLOOR, BRONX, NY 10468-6001
(718) 561-5305
Mailing address
187 FILORS LN, STONY POINT, NY 10980-2624
(845) 591-2396
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008940-1
NY
Other
Enumeration date
05/17/2016
Last updated
06/22/2016
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