| NPI | 1235287699 |
|---|---|
| Former Name | TRACY LYN BARNES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 2590) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT 00008778) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-08 |