Individual
MS. TRACEY LEE NOBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2851 TAMPA RD, PALM HARBOR, FL 34684-3314
(727) 789-8605
Mailing address
11116 CLAYRIDGE DR, TAMPA, FL 33635-1547
(813) 401-1830
(813) 854-5965
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA633
FL
Other
Enumeration date
10/04/2013
Last updated
10/04/2013
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