Individual
TRACY HONECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
15002 HUTCHISON RD, TAMPA, FL 33625-5509
(813) 960-1969
Mailing address
3196 WILTSHIRE AVE, SPRING HILL, FL 34608-4161
(856) 625-9941
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
19575
FL
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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