Tracy Eckert
Recreation Therapist in S Pasadena, FL. Individual provider (NPI-1).
NPI number1689200214
StatusActive
Last updated in NPPESMar 15, 2020
Details
- NPI
- 1689200214
- Entity type
- Individual (NPI-1)
- Name
- Tracy Eckert
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 15, 2020
- Certification date
- Mar 15, 2020
- Last updated
- Mar 15, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225800000X | Recreation Therapist | – | – | Yes |
Practice location
1332 Pasadena Ave S Apt 408S Pasadena, FL 33707-3747
Phone 727-336-0054
Mailing address
1332 Pasadena Ave S Apt 408S Pasadena, FL 33707-3747
Phone 727-336-0054
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