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Individual

MRS. TRACY G AUGUSTINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L, CHT

Contact information

Practice address
323 E TOWN ST, COLUMBUS, OH 43215-4753
(614) 461-8174
(614) 461-9155
Mailing address
323 E TOWN ST, COLUMBUS, OH 43215-4753
(614) 461-8174
(614) 461-9155

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT-004240
OH

Other

Enumeration date
08/10/2011
Last updated
08/13/2013
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