Individual
MS. TRACEY MARSHALL KIRBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2408 GERBER ST, RALEIGH, NC 27614-6553
(919) 449-0668
Mailing address
2408 GERBER ST, RALEIGH, NC 27614-6553
(919) 449-0668
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3846
NC
Other
Enumeration date
10/30/2008
Last updated
10/30/2008
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