TRACEY GAIL UDITSKY

LA VERNE, CA
NPI1124356688
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: CA  OT4910)
Enumeration Date2009-11-20
Last Update Date2009-11-20
Business Address
-- TRACEY GAIL UDITSKY
1951 6TH ST
LA VERNE, CA 91750-4432
Phone number: 909-973-4365
Mailing Address
-- TRACEY GAIL UDITSKY
1951 6TH ST
LA VERNE, CA 91750-4432
Phone number: 909-973-4365