Individual
MISS TRACI GAIL DEVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2119 E NATIONAL HWY, WASHINGTON, IN 47501-4507
(812) 254-3301
(812) 257-0039
Mailing address
2817 RIDGEWOOD DR, EVANSVILLE, IN 47711-2540
(812) 303-7411
Taxonomy
Speciality
Code
Description
License number
State
224ZE0001X
Environmental Modification Occupational Therapy Assistant
Primary
32001738A
IN
Other
Enumeration date
03/15/2010
Last updated
03/15/2010
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