Individual
MRS. TRACEY EWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
625 PINEY FOREST RD STE 407, DANVILLE, VA 24540-2870
(434) 799-7732
(434) 799-7733
Mailing address
PO BOX 10566, DANVILLE, VA 24543-5010
(434) 799-7732
(434) 799-7733
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2305006242
VA
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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