Individual
TRACEY LYNN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
7045 EVERGREEN WOODS TRL, SPRING HILL, FL 34608-1306
(352) 596-8371
Mailing address
8350 HIGH POINT CIR APT 1, PORT RICHEY, FL 34668-1920
(173) 467-4375
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA17658
FL
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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