| NPI | 1235443383 |
|---|---|
| Former Name | TRACEY L. ABBOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 032926-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 032926) |
| Enumeration Date | 2010-07-31 |
| Last Update Date | 2013-11-21 |