Tracey M. Tyler, OTR

NPI #1922312271 in De Pere, Wisconsin

Provider Information

NPI Number: 1922312271
Entity Type: Individual
Name: Tracey M. Tyler, OTR
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: Jul 28, 2010
Last Updated: Jul 28, 2010

Practice Location

Address: 218 CAVIL WAY
City: De Pere
State: Wisconsin
ZIP Code: 54115-3772
Phone: (920) 360-4052

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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