Tracy Beth Anthony COTA/L

NPI 1285880211 - Community Health Worker - 172V00000X

NPI Details
NPI 1285880211
Gender Female
Enumeration Date 08/11/2008
Last Updated 08/11/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
486 SOUTH MAIN STREET
AVRC
ANDOVER OH, 44003, US
Phone (440) 293-4226
Fax (440) 293-6079
Business Location
4588 E LAKE RD
JAMESTOWN PA, 16134-4714, US
Phone (724) 932-3527
Fax
Toxanomy
Taxonomy Code 172V00000X
License State Ohio
License Number 02854
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According to our database, Ms. Tracy Beth Anthony COTA/L NPI is 1285880211, taxonomy code is 172V00000X and license number is 02854, license state is located at Ohio. Tracy Beth Anthony COTA/L physically located at 486 South Main Street, Andover OH, 44003. NPI Number Tracy Beth Anthony COTA/L has the Individual type.

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1285880211 NPI number is provided on an as is basis without warranty of any kind. 1285880211 is maintained by the National Plan & Provider Enumeration System. The contents of Tracy Beth Anthony COTA/L are for informational purposes only.