| NPI | 1326294513 |
|---|---|
| Former Name | TRACY FOLTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 10018) |
| 225100000X Physical Therapist (Licence: OK 4174) | |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2019-06-11 |