Individual
TRACY LEIGH LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
48 KYLE DR, GARNER, NC 27529-7535
(919) 359-1323
Mailing address
48 KYLE DR, GARNER, NC 27529-7535
(919) 359-1323
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
4597
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7301490
—
NC
Enumeration date
12/02/2008
Last updated
12/02/2008
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