Individual
TRACY MISTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
3200 W LIBERTY RD, ANN ARBOR, MI 48103-9746
(734) 780-7852
Mailing address
3200 W LIBERTY RD, ANN ARBOR, MI 48103-9746
(734) 780-7852
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5201003262
MI
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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