TRACY WALL

PHOENIX, AZ
NPI1386128361
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MO  2012001565)
Enumeration Date2018-09-17
Last Update Date2018-09-17
Business Address
TRACY WALL
7540 N 19TH AVE
PHOENIX, AZ 85021-7967
Phone number: 888-873-4221
Mailing Address
TRACY WALL
7540 N 19TH AVE
PHOENIX, AZ 85021-7967
Phone number: