Individual
TRACY ANN NOLDER
Active
Individual
TRACY ANN NOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00003358
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2971NO
REGENCE BLUESHIELD
WA
01
—
7791219
AETNA
WA
Enumeration date
09/14/2006
Last updated
06/28/2012
Update your record
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