MS. TRACEY KOCK, ITDS

Developmental Therapist

Active Individual
NPI: 1558624312

Practice Address

21113 LAKE TALIA BLVD
Land O Lakes, FL 34638

Phone: (813) 873-1936

Specialties

Specialty Code Primary License
Social Worker 104100000X No 007369 (SC)
Developmental Therapist 222Q00000X Yes -

Frequently Asked Questions

NPI 1558624312 is the National Provider Identifier for MS. TRACEY KOCK, ITDS, a Developmental Therapist provider located in Land O Lakes, FL. This NPI was enumerated on June 18, 2012.
MS. TRACEY KOCK, ITDS practices at 21113 LAKE TALIA BLVD, Land O Lakes, FL 34638.

Quick Facts

NPI
1558624312
Type
Individual
Enumerated
Jun 18, 2012
Last Updated
Jun 18, 2012

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