Individual
CHRISTIANA TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5446 N ACADEMY BLVD STE 204, COLORADO SPRINGS, CO 80918-3669
(719) 598-5555
(719) 388-2030
Mailing address
11681 VOYAGER PKWY, COLORADO SPRINGS, CO 80921-3861
(719) 344-9342
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1220
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
CO
Enumeration date
08/17/2020
Last updated
08/21/2022
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