Individual
TRACY ELISE CORADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
146 MARPLE RD, BROOMALL, PA 19008-2040
(610) 356-0100
Mailing address
146 MARPLE RD, BROOMALL, PA 19008-2040
(610) 356-0100
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP007733
PA
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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