Individual
TRACY LYNN DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4603 TIMBERWALK CT, LA GRANGE, KY 40031-6746
(703) 864-6695
Mailing address
4603 TIMBERWALK CT, LA GRANGE, KY 40031-6746
(502) 648-8188
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
12/31/2015
Last updated
04/07/2020
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