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Individual

TRACY O'CONNOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD, OTR/L, BCPR

Contact information

Practice address
30715 PINYON DR, SPANISH FORT, AL 36527-5797
(251) 978-7441
Mailing address
30715 PINYON DR, SPANISH FORT, AL 36527-5797

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
1640
AL

Other

Enumeration date
08/05/2019
Last updated
08/05/2019
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