Individual provider · Type 1 NPI
Tracey E. Kock, ITDS
Developmental Therapist · Land O Lakes, FL
Practice location
21113 Lake Talia Blvd
Land O Lakes, FL 34638-3738
Fax (813) 873-8837
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | 007369 (SC) |
| Developmental Therapist Primary | 222Q00000X | None listed |
Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…
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About NPI 1558624312
Tracey E. Kock, ITDS's National Provider Identifier is 1558624312, issued on Jun 18, 2012. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Land O Lakes, FL. The record was last updated on Jun 18, 2012.