Individual
MS. TRACY S HOLTZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1 CHILDRENS PL, STE 11E10, SAINT LOUIS, MO 63110-1002
(314) 454-6050
(314) 454-4801
Mailing address
1 CHILDRENS PL, C B 8116, SAINT LOUIS, MO 63110-1002
(314) 454-6050
(314) 454-4801
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
107417
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
489255703
—
MO
Enumeration date
07/14/2006
Last updated
07/20/2009
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