Individual
TRACY CLEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 MAIN ST, SUCCASUNNA, NJ 07876-1385
(973) 584-4000
Mailing address
10 EDDIE CT, DAYTON, NJ 08810-1640
(732) 230-3076
(866) 862-4631
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00777400
NJ
Other
Enumeration date
05/11/2018
Last updated
05/11/2018
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