Individual
MERLIN J TRACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8200 GOOD LUCK RD, LANHAM, MD 20706-3511
(301) 552-2000
Mailing address
6724 VILLAGE PARK DR, GREENBELT, MD 20770-3082
(301) 552-0015
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A01438
MD
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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