Individual
TRACY LEE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
69 FERRY ST STE 7, EASTHAMPTON, MA 01027-1286
(413) 203-5328
Mailing address
130 GRANBY RD, SOUTH HADLEY, MA 01075-2901
(925) 948-6392
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
CA
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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