Individual
MRS. TRACEE LANE FINKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.R.
Contact information
Practice address
15915 RESTON BRIDGE DR, CYPRESS, TX 77429-6907
(281) 256-0404
(281) 256-0404
Mailing address
15915 RESTON BRIDGE DR, CYPRESS, TX 77429-6907
(281) 256-0404
(281) 256-0404
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
103607
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
659646
BCBS NUMBER
TX
01
—
8T6353
BCBS NUMBER
TX
Enumeration date
08/17/2006
Last updated
07/09/2007
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