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1760134662
TRACEY THOMAS
BATON ROUGE, LA
NPI
1760134662
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: LA 322421)
Enumeration Date
2022-01-21
Last Update Date
2022-01-21
Business Address
TRACEY THOMAS LOTR
5550 THOMAS RD
BATON ROUGE, LA 70811-7370
Phone number: 225-774-2141
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Mailing Address
TRACEY THOMAS LOTR
13508 HICO DR
BAKER, LA 70714-4664
Phone number: 225-892-0144
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