Individual
MRS. TRACY RENE MCAREAVEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
706 S 1ST ST, BLACKWELL, OK 74631-3825
(580) 363-1111
(580) 363-1116
Mailing address
706 S 1ST ST, BLACKWELL, OK 74631-3825
(580) 363-1111
(580) 363-1116
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2011
OK
Other
Enumeration date
06/17/2005
Last updated
07/08/2007
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