Individual
TRACEY LEE KRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
12325 N STAR CLUSTER DR, MARANA, AZ 85653-9084
(520) 444-8418
Mailing address
12325 N STAR CLUSTER DR, MARANA, AZ 85653-9084
(520) 444-8418
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3044
AZ
Other
Enumeration date
06/07/2008
Last updated
06/07/2008
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