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Individual

TRACY MURDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
101 KLOTHE DR, GRAHAMSVILLE, NY 12740-5805
(845) 985-7080
Mailing address
280 DENMAN MOUNTAIN RD, GRAHAMSVILLE, NY 12740-5507
(845) 798-1524

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008739-1
NY

Other

Enumeration date
01/14/2017
Last updated
01/14/2017
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