| NPI | 1982648242 |
|---|---|
| Former Name | TRACY MARIE BALDICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.015461) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 18501) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2024-03-18 |