Individual
TRACY PRACHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
301 PINEHAVEN STREET EXT, LAURENS, SC 29360-2671
(864) 984-6584
Mailing address
270 AMANDA CT, MOORE, SC 29369-8924
(864) 576-8108
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2561
SC
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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