Individual
TRACEY ANNE CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
357B LANCASTER ST, WEST BOYLSTON, MA 01583-1263
(508) 254-4192
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
520
MA
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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