Individual
TRACY IEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
845 PADDOCK AVE, MERIDEN, CT 06450-7021
(877) 252-4469
Mailing address
845 PADDOCK AVE, MERIDEN, CT 06450-7021
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000566
CT
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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