Tracee Depriest

NPI 1902929243 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1902929243
Gender Female
Enumeration Date 04/10/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
15 JUNCTION DR
GLEN CARBON IL, 62034-4300, US
Phone (618) 659-9666
Fax
Business Location
3459 SEILER RD
BETHALTO IL, 62010-2607, US
Phone
Fax
Toxanomy
Taxonomy Code 225200000X
License State
License Number
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According to our database, Tracee Depriest NPI is 1902929243, taxonomy code is 225200000X Tracee Depriest physically located at 15 Junction Dr, Glen Carbon IL, 62034-4300. NPI Number Tracee Depriest has the Individual type.

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1902929243 NPI number is provided on an as is basis without warranty of any kind. 1902929243 is maintained by the National Plan & Provider Enumeration System. The contents of Tracee Depriest are for informational purposes only.