Individual provider · Type 1 NPI
Tracey L. Airth-Edblom, OTR/L, CHT
Hand Occupational Therapist · Petaluma, CA
NPI number
1053571307
Active
Practice location
226 Weller St
Petaluma, CA 94952-3136
Fax (707) 762-7679
Mailing address
8 Pacific Dr
Novato, CA 94949-5479
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hand Occupational Therapist Primary | 225XH1200X | OT345 (CA) |
Hand Occupational Therapist: Definition to come...
Another provider at this address
Other hand occupational therapist providers in Petaluma
About NPI 1053571307
Tracey L. Airth-Edblom, OTR/L, CHT's National Provider Identifier is 1053571307, issued on Jun 11, 2008. The primary taxonomy on file is Hand Occupational Therapist (225XH1200X), and the practice location is in Petaluma, CA. The record was last updated on Jun 11, 2008.