Individual
MRS. TRACIE LEANNE BINGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
813 VERMILLION PEAK PASS, LEXINGTON, KY 40515-6358
(859) 489-0141
Mailing address
813 VERMILLION PEAK PASS, LEXINGTON, KY 40515-6358
(859) 489-0141
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
KY-R3287
KY
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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