Individual
TRACIE BARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
7401 OSLER DR, SUITE 110, TOWSON, MD 21204-7673
(410) 296-8888
Mailing address
4060 GOLDENS PATH, YORK, PA 17404-9041
(410) 296-8888
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC004985L
PA
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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