Tracy Lynn Fenton, OTR/L

NPI #1871792184 in New Ringgold, Pennsylvania

Provider Information

NPI Number: 1871792184
Entity Type: Individual
Name: Tracy Lynn Fenton, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Jul 16, 2007
Last Updated: Jul 16, 2007

Practice Location

Address: 5 CHAIN CIR
City: New Ringgold
State: Pennsylvania
ZIP Code: 17960-9031
Phone: (570) 386-8747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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