Individual
TRACEE ALBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
413 MYRTLE ST, VIDALIA, LA 71373-3824
(318) 557-6620
Mailing address
413 MYRTLE ST, VIDALIA, LA 71373-3824
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
09/26/2023
Last updated
04/24/2025
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