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Tracy Ann Egge, OTR/L

Occupational Therapist in Crystal Lake, IL. Individual provider (NPI-1).

NPI number1336735844
StatusActive
Last updated in NPPESDec 18, 2020

Details

NPI
1336735844
Entity type
Individual (NPI-1)
Name
Tracy Ann Egge
Credential
OTR/L
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 18, 2020
Certification date
Dec 18, 2020
Last updated
Dec 18, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist056005855ILYes

Practice location

3223 Il Route 176
Crystal Lake, IL 60014-2145

Phone 815-459-3023

Mailing address

1442 Blue Heron Dr
Crystal Lake, IL 60014-1970

Phone 847-331-4496

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