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Individual

MS. TRACY L AIELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
200 NE MOTHER JOSEPH PL, SUITE 110, VANCOUVER, WA 98664-3299
(360) 254-6161
(360) 449-1139
Mailing address
200 NE MOTHER JOSEPH PL, SUITE 210, VANCOUVER, WA 98664-3299
(360) 254-6161
(360) 449-1139

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
1047297
OR
225XH1200X
Hand Occupational Therapist
Primary
OT00004358
WA

Other

Enumeration date
12/06/2006
Last updated
10/23/2009
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