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Individual

TRACY LYNN MCSHEA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS,OTR/L

Contact information

Practice address
475 OLD MARLTON PIKE W, SUITE 1, MARLTON, NJ 08053-2098
(856) 983-6160
Mailing address
475 OLD MARLTON PIKE, SUITE 1, MARLTON, NJ 08053
(856) 983-6160

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00277000
NJ

Other

Enumeration date
02/05/2009
Last updated
02/05/2009
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