Tracie Renee Thompson, COTA/L
Occupational Therapy Assistant in Linden, MI. Individual provider (NPI-1).
NPI number1366092983
StatusActive
Last updated in NPPESSep 16, 2019
Details
- NPI
- 1366092983
- Entity type
- Individual (NPI-1)
- Name
- Tracie Renee Thompson
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 16, 2019
- Last updated
- Sep 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | – | – | Yes |
Practice location
12191 Jennings RdLinden, MI 48451-9476
Phone 810-397-3411
Mailing address
111 Trealout DrFenton, MI 48430-1481
Phone 810-593-3119
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