Tracey L Fowl MASTERS IN SPED

NPI 1023279189 - Developmental Therapist - 222Q00000X

NPI Details
NPI 1023279189
Gender Female
Enumeration Date 06/21/2008
Last Updated 03/08/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
1651 OPTIMIST RD
ELIZABETHTOWN KY, 42701-6152, US
Phone (270) 763-8011
Fax (270) 763-8011
Business Location
1651 OPTIMIST RD
ELIZABETHTOWN KY, 42701-6152, US
Phone (270) 763-8011
Fax (270) 763-8011
Toxanomy
Taxonomy Code 222Q00000X
License State Kentucky
License Number EPSB ID: 71846
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According to our database, Mrs. Tracey L Fowl MASTERS IN SPED NPI is 1023279189, taxonomy code is 222Q00000X and license number is EPSB ID: 71846, license state is located at Kentucky. Tracey L Fowl MASTERS IN SPED physically located at 1651 Optimist Rd, Elizabethtown KY, 42701-6152. NPI Number Tracey L Fowl MASTERS IN SPED has the Individual type.

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1023279189 NPI number is provided on an as is basis without warranty of any kind. 1023279189 is maintained by the National Plan & Provider Enumeration System. The contents of Tracey L Fowl MASTERS IN SPED are for informational purposes only.