Organization · Type 2 NPI
Tracy Rehabilitative Services, PC
Professional Counselor · Tuttle, OK
NPI number
1396076527
Active
Practice location
1802 Riviera Dr
Tuttle, OK 73089-8109
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 4228 (OK) |
| Speech-Language Pathologist | 235Z00000X | 3518 (OK) |
Professional Counselor: Definition to come...
About NPI 1396076527
Tracy Rehabilitative Services, PC's National Provider Identifier is 1396076527, issued on Jan 28, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Tuttle, OK. The record was last updated on Jan 28, 2010.