Individual
TRACIE DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
2650 E MCDOWELL RD, PHOENIX, AZ 85008-3658
(623) 242-6908
Mailing address
2650 E MCDOWELL RD, PHOENIX, AZ 85008-3658
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6621
AZ
Other
Enumeration date
08/20/2016
Last updated
08/20/2016
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