Individual
REBECCA TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
316 N 3RD ST, MUSCODA, WI 53573-9294
(608) 739-2335
Mailing address
861 W MAPLE ST, LANCASTER, WI 53813-1519
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7009-27
WI
Other
Enumeration date
04/17/2025
Last updated
04/17/2025
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