Individual
DEVON TRACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
10019 FOREST GREEN BLVD, LOUISVILLE, KY 40223-5119
(502) 893-1380
Mailing address
10019 FOREST GREEN BLVD, LOUISVILLE, KY 40223-5119
(502) 893-1380
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
293746
KY
Other
Enumeration date
09/19/2024
Last updated
09/20/2024
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