Tracey Edna Carriere

NPI 1063757086 - Occupational Therapist - 225X00000X

NPI Details
NPI 1063757086
Gender Female
Enumeration Date 12/03/2012
Last Updated 12/03/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
1630 E REELFOOT AVE
UNION CITY TN, 38261-6021, US
Phone (731) 885-8095
Fax
Business Location
1720 STONE ST
B22
UNION CITY TN, 38261-6034, US
Phone (731) 885-8095
Fax
Toxanomy
Taxonomy Code 225X00000X
License State Tennessee
License Number 4670
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According to our database, Ms. Tracey Edna Carriere NPI is 1063757086, taxonomy code is 225X00000X and license number is 4670, license state is located at Tennessee. Tracey Edna Carriere physically located at 1630 E Reelfoot Ave, Union City TN, 38261-6021. NPI Number Tracey Edna Carriere has the Individual type.

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1063757086 NPI number is provided on an as is basis without warranty of any kind. 1063757086 is maintained by the National Plan & Provider Enumeration System. The contents of Tracey Edna Carriere are for informational purposes only.