Individual
MISS THUY KIM TRACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7105 CROSSROAD BLVD, SUITE 106, BRENTWOOD, TN 37027
(615) 299-6332
Mailing address
206 WESTFIELD DR, NASHVILLE, TN 37221-1404
(615) 600-8034
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/05/2011
Last updated
04/09/2014
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