Individual
TRACEY MEREDITH BOOROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,OTR/L
Contact information
Practice address
3061 MOUNTAIN SPRUCE TER, WESLEY CHAPEL, FL 33543-4129
(516) 643-8406
Mailing address
3061 MOUNTAIN SPRUCE TER, WESLEY CHAPEL, FL 33543-4129
(516) 643-8406
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
17749
FL
225X00000X
Occupational Therapist
015259
NY
Other
Enumeration date
12/16/2011
Last updated
10/09/2023
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