Individual
MS. TRACY DIANNE HENSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
850 HUNGERFORD DR, ROCKVILLE, MD 20850-1718
(301) 309-6277
Mailing address
11090 THRUSH RIDGE RD, RESTON, VA 20191-4722
(301) 768-0082
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
03990
MD
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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