Tracy Renee Haymon OTR

NPI 1215100052 - Occupational Therapist - 225X00000X

NPI Details
NPI 1215100052
Gender Female
Enumeration Date 04/11/2008
Last Updated 04/11/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
2366 ELLSWORTH ST
GARY IN, 46404-3300, US
Phone (219) 924-0007
Fax
Business Location
2366 ELLSWORTH ST
GARY IN, 46404-3300, US
Phone (219) 924-0007
Fax
Toxanomy
Taxonomy Code 225X00000X
License State Indiana
License Number 31004576A
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According to our database, Miss Tracy Renee Haymon OTR NPI is 1215100052, taxonomy code is 225X00000X and license number is 31004576A, license state is located at Indiana. Tracy Renee Haymon OTR physically located at 2366 Ellsworth St, Gary IN, 46404-3300. NPI Number Tracy Renee Haymon OTR has the Individual type.

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1215100052 NPI number is provided on an as is basis without warranty of any kind. 1215100052 is maintained by the National Plan & Provider Enumeration System. The contents of Tracy Renee Haymon OTR are for informational purposes only.