Individual
TRACEY FERRARI RODERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1300 E BRADFORD PARKWAY, SPRINGFIELD, MO 65804
(417) 269-0244
Mailing address
214 LANDON LANE, HARRISON, AR 72601
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR2149
AR
Other
Enumeration date
12/12/2007
Last updated
06/04/2010
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