Individual
MISS TRACY KATHLEEN LORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
981 VARNUM AVE, LOWELL, MA 01854-1913
(978) 569-1000
Mailing address
37 UPTACK RD, GROVELAND, MA 01834-1004
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1914
MA
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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