Individual
TRACY A KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
651 MAURICE ST, YORK, PA 17404-1394
(717) 433-5747
Mailing address
651 MAURICE ST, YORK, PA 17404-1394
(877) 312-6576
(814) 506-8213
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP006498
PA
Other
Enumeration date
02/16/2011
Last updated
09/07/2016
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