Individual
TRACY LIVERNOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
55 COBURG RD, SLOCUM ORTHOPEDICS, EUGENE, OR 97401-2433
(541) 485-8111
(541) 342-6379
Mailing address
55 COBURG RD, SLOCUM ORTHOPEDICS, EUGENE, OR 97401-2433
(541) 485-8111
(541) 342-6379
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2065
OR
2251X0800X
Orthopedic Physical Therapist
Primary
2065
OR
Other
Enumeration date
05/16/2006
Last updated
08/05/2020
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