Traci Marie Hartrich OTR/L

NPI 1063785020 - Occupational Therapist - 225XP0200X

NPI Details
NPI 1063785020
Gender Female
Enumeration Date 02/21/2012
Last Updated 02/21/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
10354 PRAIRIE DELL RD
SHIPMAN IL, 62685-6105, US
Phone (618) 836-7442
Fax
Business Location
10354 PRAIRIE DELL RD
SHIPMAN IL, 62685-6105, US
Phone (618) 836-7442
Fax
Toxanomy
Taxonomy Code 225XP0200X
License State Illinois
License Number 056002189
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According to our database, Mrs. Traci Marie Hartrich OTR/L NPI is 1063785020, taxonomy code is 225XP0200X and license number is 056002189, license state is located at Illinois. Traci Marie Hartrich OTR/L physically located at 10354 Prairie Dell Rd, Shipman IL, 62685-6105. NPI Number Traci Marie Hartrich OTR/L has the Individual type.

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1063785020 NPI number is provided on an as is basis without warranty of any kind. 1063785020 is maintained by the National Plan & Provider Enumeration System. The contents of Traci Marie Hartrich OTR/L are for informational purposes only.