MRS. TRACY JOHANNECK-UTPHALL, COTA
Occupational Therapy Assistant
Active
Individual
NPI: 1730416769
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | Yes | 1193-27 (WI) |
Frequently Asked Questions
NPI 1730416769 is the National Provider Identifier for MRS. TRACY JOHANNECK-UTPHALL, COTA, a Occupational Therapy Assistant provider located in Racine, WI. This NPI was enumerated on November 12, 2009.
MRS. TRACY JOHANNECK-UTPHALL, COTA practices at 3248 SHORTRIDGE DR, Racine, WI 53402.
Quick Facts
- NPI
- 1730416769
- Type
- Individual
- Enumerated
- Nov 12, 2009
- Last Updated
- Nov 12, 2009
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