MS. Tracy L West-Stallard, OTR/L, HTC, PAM

NPI #1013020973 in Bishop, California

Provider Information

NPI Number: 1013020973
Entity Type: Individual
Name: MS. Tracy L West-Stallard, OTR/L, HTC, PAM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist - Physical Rehabilitation
Credential: OTR/L, HTC, PAM
Enumeration Date: Aug 16, 2006
Last Updated: Feb 11, 2021

Practice Location

Address: 162 S MAIN ST
City: Bishop
State: California
ZIP Code: 93514-3415
Phone: (760) 872-2942

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Occupational Therapist - Physical Rehabilitation — Physical Rehabilitation	225XP0019X	Primary

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