Traci L Fracassa in Ira - Occupational Therapist
Traci L Fracassa - NPI 1902008519
Traci L Fracassa is a Occupational Therapist in Ira, Michigan. Traci L Fracassa practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Traci L Fracassa is 1902008519. The last update date is 2007-07-08.
Traci L Fracassa's current location address is 6984 Palms Rd, Ira, Michigan. You can contact this provider via phone number 5867169032. The mailing address for Traci L Fracassa is 6984 Palms Rd, Ira, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Traci L Fracassa |
|---|---|
| Address | 6984 Palms Rd, Ira, Michigan |
| Phone Number | 5867169032 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | O.T.R |
NPI Number Detail
| NPI Number | 1902008519 |
|---|---|
| Provider Enumeration Date | 2007-06-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6984 Palms Rd |
|---|---|
| City | Ira |
| State | Michigan (MI) |
| Post Code | 480232214 |
| Phone Number | 5867169032 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | L693805 |
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Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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What is the unique identifier code issued to Traci L Fracassa by the Centers for Medicare & Medicaid Services (CMS)?
The Traci L Fracassa has been assigned the NPI (National Provider Identifier) 1902008519. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Traci L Fracassa is physically located?
The Traci L Fracassa is situated at the following address: 6984 Palms Rd, Ira, MI 480232214.
What is Traci L Fracassa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Traci L Fracassa's specialized field of practice is Occupational Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225X00000X.
On what date did the Traci L Fracassa receive its 1902008519 assignment from the Centers for Medicare & Medicaid Services?
The Traci L Fracassa was assigned its 1902008519 by the Centers for Medicare & Medicaid Services on 2007-06-05.
When was the information pertaining to Traci L Fracassa most recently updated or revised?
The details related to Traci L Fracassa, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1730182858
Address: 40 Old Lancaster Rd Apt 412, Merion Station, PA