Individual
TRACY ERMICIE THERMIDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2601 OCEAN PKWY, BROOKLYN, NY 11235-7745
(718) 616-3900
Mailing address
2601 OCEAN PKWY, BROOKLYN, NY 11235-7745
(718) 616-3900
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
034863
NY
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
04/16/2012
Last updated
04/23/2015
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