Individual
MS. TRACEY ANNE FALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
196 ALLEN AVE, PORTLAND, ME 04103-3711
(207) 878-8100
Mailing address
69 PRESUMPSCOT ST, PORTLAND, ME 04103-5201
(207) 874-8220
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1792
ME
Other
Enumeration date
09/02/2010
Last updated
09/02/2010
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