Individual
TRACEY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
5550 THOMAS RD, BATON ROUGE, LA 70811-7370
(225) 774-2141
Mailing address
13508 HICO DR, BAKER, LA 70714-4664
(225) 892-0144
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
322421
LA
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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