Individual
TRACY LYNN CLIXBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2637 124TH ST, TOLEDO, OH 43611-2238
(419) 699-1501
Mailing address
2637 124TH ST, TOLEDO, OH 43611-2238
(419) 699-1501
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.06219
OH
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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