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1811281546
TRACEY M BACKUS
MATTHEWS, NC
NPI
1811281546
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NC 2495)
Enumeration Date
2011-05-28
Last Update Date
2011-05-28
Business Address
Mrs. TRACEY M BACKUS OTR/L
10043 IDLEWILD RD
MATTHEWS, NC 28105-2013
Phone number: 704-545-0009
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Mailing Address
Mrs. TRACEY M BACKUS OTR/L
10645 STONE BUNKER DR
MINT HILL, NC 28227-7036
Phone number: 704-575-3765
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