Individual
DAVID TRACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1120 N TOWN CENTER DR, #1120, LAS VEGAS, NV 89144-6301
(866) 960-7691
Mailing address
1120 N TOWN CENTER DR, #1120, LAS VEGAS, NV 89144-6301
(866) 960-7691
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0565
NV
Other
Enumeration date
03/29/2013
Last updated
03/29/2013
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