Individual
TRACY ELFAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1486 SWANSON DR, SUITE 100/200, OVIEDO, FL 32765-5859
(407) 977-4448
(407) 977-4402
Mailing address
1486 SWANSON DR, SUITE 100/200, OVIEDO, FL 32765-5859
(407) 977-4448
(407) 977-4402
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA13904
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTA13904
STATE OF FLORIDA
FL
Enumeration date
01/28/2016
Last updated
01/28/2016
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