Individual
TRACY LACHELLE NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 S HIGHWAY 36 BYP N, GATESVILLE, TX 76528-2764
(254) 865-7575
Mailing address
300 S HIGHWAY 36 BYP N, GATESVILLE, TX 76528-2764
(254) 865-7575
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214424
TX
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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