Individual
TRACEY SCHAEFFNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
5428 N 350 E, ROCHESTER, IN 46975-7308
(574) 847-4821
Mailing address
5428 N 350 E, ROCHESTER, IN 46975-7308
(574) 847-4821
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IN
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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