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Individual

MRS. TRACEY JOANNE HARVEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
465 HYLAND DR, EAST STROUDSBURG, PA 18301-7245
(413) 364-1948
Mailing address
465 HYLAND DR, EAST STROUDSBURG, PA 18301-7245
(413) 364-1948

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007134-1
NY
225X00000X
Occupational Therapist
OC013766
PA

Other

Enumeration date
07/05/2012
Last updated
02/13/2015
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