Individual
MS. TRACIE DIANE HOBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LRTCTRS
Contact information
Practice address
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3013
(336) 718-4638
(336) 718-9299
Mailing address
4172 KENNISON VILLAGE DR, WINSTON SALEM, NC 27127-6695
(336) 972-2965
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
926
NC
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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