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1104809052
TRACY LYN FARREY
MILWAUKEE, WI
NPI
1104809052
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Former Name
TRACEY PETRI
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 4900)
Enumeration Date
2005-11-23
Last Update Date
2019-08-12
Business Address
TRACY LYN FARREY PT
1271 N 6TH ST
MILWAUKEE, WI 53212-3360
Phone number: 414-978-9100
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Mailing Address
TRACY LYN FARREY PT
11481 SW HALL BLVD STE 201
PORTLAND, OR 97223-8403
Phone number: 800-219-8835
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