MRS. Traci Tara Harrisonmadge, COTAL
NPI #1326246646 in Raytown, Missouri
Provider Information
- NPI Number
- 1326246646
- Entity Type
- Individual
- Name
- MRS. Traci Tara Harrisonmadge, COTAL
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTAL
- Enumeration Date
- Jul 8, 2007
- Last Updated
- Jul 8, 2007
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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