Individual
TRACY BOLLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7309 NW 114TH TER, OKLAHOMA CITY, OK 73162-2708
(904) 446-7961
Mailing address
7309 NW 114TH TER, OKLAHOMA CITY, OK 73162-2708
(904) 446-7961
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1503
OK
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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