MISS Tracy Lynn Stanley, COTA

NPI #1124276381 in Herrin, Illinois

Provider Information

NPI Number
1124276381
Entity Type
Individual
Name
MISS Tracy Lynn Stanley, COTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
Aug 29, 2008
Last Updated
Aug 29, 2008

Practice Location

Address
1901 N. 13TH STREET
City
Herrin
ZIP Code
62948
Phone
(618) 942-3274

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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