Individual
TRACI ANN TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
425 CARY WOODS CIR, CARY, IL 60013-2059
(773) 255-7503
(847) 639-1020
Mailing address
PO BOX 339, CARY, IL 60013-0339
(847) 639-0537
(847) 639-1020
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
IL
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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