Tracy Parker, OT

NPI #1053669655 in Belleville, Illinois

Provider Information

NPI Number: 1053669655
Entity Type: Individual
Name: Tracy Parker, OT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Aug 29, 2012
Last Updated: Aug 30, 2012

Practice Location

Address: 2810 FRANK SCOTT PKWY W
Address 2: STE 824
City: Belleville
State: Illinois
ZIP Code: 62223-5007
Phone: (618) 234-9705

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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