Individual
TRACIE NORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3900 LLEWELLYN AVE, NORFOLK, VA 23504-1203
(757) 625-5363
Mailing address
3900 LLEWELLYN AVE, NORFOLK, VA 23504-1203
(757) 625-5363
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000300
VA
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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