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1518419001
TRACEY LEE SMITH
LA GRANGE, KY
NPI
1518419001
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: KY 136195)
Enumeration Date
2016-10-31
Last Update Date
2020-04-09
Business Address
TRACEY LEE SMITH COTA/L
4603 TIMBERWALK CT
LA GRANGE, KY 40031-6746
Phone number: 703-864-6695
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Mailing Address
TRACEY LEE SMITH COTA/L
4603 TIMBERWALK CT
LA GRANGE, KY 40031-6746
Phone number: 703-864-6695
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