Individual
TRACEY MEREDITH BOOROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,OTR/L
Contact information
Practice address
150 WOLF CREEK TRL, BROOMFIELD, CO 80020-9693
(516) 643-8406
Mailing address
150 WOLF CREEK TRL, BROOMFIELD, CO 80020-9693
(516) 643-8406
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
17749
FL
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
8190
CO
225X00000X
Occupational Therapist
015259
NY
Other
Enumeration date
12/16/2011
Last updated
05/11/2026
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