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Individual

MRS. TRACY R FLEMMING-TRACY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
3105 INDEPENDENCE DR, SUITE 105, BIRMINGHAM, AL 35209-4111
(205) 803-2210
(205) 803-2214
Mailing address
3105 INDEPENDENCE DR, SUITE 105, BIRMINGHAM, AL 35209-4111
(205) 803-2210
(205) 803-2214

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2469
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
511-22828
BLUE CROSS BLUE SHIELD ALABAMA
AL
Enumeration date
09/09/2011
Last updated
04/22/2016
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