Tracy Lynn Wilson in Ontario - Rehabilitation Practitioner

Tracy Lynn Wilson - NPI 1699892612

Tracy Lynn Wilson is a Rehabilitation Practitioner in Ontario, California. Tracy Lynn Wilson practices all healthcare services and medical treatments related to Rehabilitation Practitioner. The NPI Number for Tracy Lynn Wilson is 1699892612. The last update date is 2013-05-15.

Tracy Lynn Wilson's current location address is 3303 S Archibald Ave Apt 183, Ontario, California. You can contact this provider via phone number 6268592089 and fax number 6268596537. The mailing address for Tracy Lynn Wilson is 3303 S Archibald Ave Apt 183, Ontario, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Tracy Lynn Wilson
Address 3303 S Archibald Ave Apt 183, Ontario, California
Phone Number 6268592089
Fax Number 6268596537
Sole Proprietor N
Credentials MS

NPI Number Detail

NPI Number 1699892612
Provider Enumeration Date 2007-03-23
Last Updated Date 2013-05-15

Provider Mailing Address Detail

Address 3303 S Archibald Ave Apt 183
City Ontario
State California (CA)
Post Code 917617984
Phone Number 6268592089
Fax Number 6268596537

Provider's Primary Taxonomy Detail

Speciality Rehabilitation Practitioner
Taxonomy 225400000X
Definition:
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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FAQs about Tracy Lynn Wilson

What is the unique identifier code issued to Tracy Lynn Wilson by the Centers for Medicare & Medicaid Services?

The Tracy Lynn Wilson has been assigned the NPI (National Provider Identifier) 1699892612. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Tracy Lynn Wilson is geographically located?

The Tracy Lynn Wilson is physically situated at the following location: 3303 S Archibald Ave Apt 183, Ontario, CA, 917617984.

What is the Tracy Lynn Wilson's specialty and taxonomy code?

The Tracy Lynn Wilson's specialty is Rehabilitation Practitioner, and the corresponding taxonomy code is 225400000X.

On what date was the 1699892612 assigned to Tracy Lynn Wilson?

The Tracy Lynn Wilson was issued its 1699892612 on 2007-03-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Tracy Lynn Wilson most recently updated?

The details pertaining to the Tracy Lynn Wilson, including its address, specialty, and other relevant information, were last refreshed on 2013-05-15.

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