Individual
TRACIE D WEBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1712 STERLING TRACE DR, KELLER, TX 76248-8746
(214) 558-3543
Mailing address
1712 STERLING TRACE DR, KELLER, TX 76248-8746
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209415
TX
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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