Tracey L Airth-Edblom in Petaluma - Hand
Tracey L Airth-Edblom - NPI 1053571307
Tracey L Airth-Edblom is a Hand in Petaluma, California. Tracey L Airth-Edblom practices all healthcare services and medical treatments related to Hand. The NPI Number for Tracey L Airth-Edblom is 1053571307. The last update date is 2008-06-11.
Tracey L Airth-Edblom's current location address is 226 Weller St, Petaluma, California. You can contact this provider via phone number 7077627678 and fax number 7077627679. The mailing address for Tracey L Airth-Edblom is 226 Weller St, Petaluma, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracey L Airth-Edblom |
|---|---|
| Address | 226 Weller St, Petaluma, California |
| Phone Number | 7077627678 |
| Fax Number | 7077627679 |
| Sole Proprietor | N |
| Credentials | OTR/L, CHT |
NPI Number Detail
| NPI Number | 1053571307 |
|---|---|
| Provider Enumeration Date | 2008-06-11 |
| Last Updated Date | 2008-06-11 |
Provider Mailing Address Detail
| Address | 226 Weller St |
|---|---|
| City | Petaluma |
| State | California (CA) |
| Post Code | 949523136 |
| Phone Number | 7077627678 |
| Fax Number | 7077627679 |
Provider's Primary Taxonomy Detail
| Speciality | Hand |
|---|---|
| Taxonomy | 225Xh1200X |
| Licence No | OT345 |
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Definition: An occupational therapist who specializes in treating hand, wrist and forearm injuries or impairments to help regain function and dexterity. |
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Post Comment/ Review Below
What is the Tracey L Airth-Edblom's 1053571307?
The Tracey L Airth-Edblom's NPI (National Provider Identifier) Number is 1053571307. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Tracey L Airth-Edblom is physically located?
The Tracey L Airth-Edblom is physically situated at the following address: 226 Weller St, Petaluma, CA, 949523136.
What is Tracey L Airth-Edblom's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Tracey L Airth-Edblom is Hand, and the taxonomy code that categorizes this field of expertise is 225Xh1200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1053571307 to Tracey L Airth-Edblom?
The Centers for Medicare & Medicaid Services originally issued the 1053571307 to Tracey L Airth-Edblom on 2008-06-11.
When was the Tracey L Airth-Edblom's information last updated?
The Tracey L Airth-Edblom's information was last updated on 2008-06-11.