Individual
TRACI S ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
215 W LIPAN DR, LIPAN, TX 76462-2001
(325) 716-9443
Mailing address
PO BOX 119, LIPAN, TX 76462-0119
(325) 716-9443
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1131795
TX
Other
Enumeration date
01/30/2022
Last updated
01/30/2022
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