Individual
TRACY RENEE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4600 BUSINESS PARK BLVD # D24, ANCHORAGE, AK 99503-7142
(907) 561-1478
Mailing address
4600 BUSINESS PARK BLVD # D24, ANCHORAGE, AK 99503-7142
(907) 561-1478
(888) 552-1720
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1439
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1577369
—
AK
Enumeration date
12/08/2011
Last updated
04/27/2018
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