Individual
TRACY PRACHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2400 VETERANS MEMORIAL DR, CAPE GIRARDEAU, MO 63701-9620
(573) 290-5870
Mailing address
204 SEMINAR STREET, WARSAW, MO 65355
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2007032908
MO
Other
Enumeration date
12/29/2011
Last updated
01/09/2012
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