Individual
TRACY CATHERINE STROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
215 E BROWN ST, AUGUSTA, WI 54722-9346
(715) 286-2266
Mailing address
3120 VENUS AVE, EAU CLAIRE, WI 54703-0919
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1685-027
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40899100
—
WI
Enumeration date
07/05/2007
Last updated
07/08/2007
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