| Tracy Rehabilitative Services, Pc | |
|
1802 Riviera Dr Tuttle OK 73089-8109 | |
| (405) 626-8701 | |
| Not Available |
| Full Name | Tracy Rehabilitative Services, Pc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1802 Riviera Dr, Tuttle, Oklahoma |
| Authorized Official Name and Position | Megan Dee Tracy (OWNER/PRESIDENT) |
| Authorized Official Contact | 4056268701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Rehabilitative Services, Pc 1802 Riviera Dr Tuttle OK 73089-8109 Ph: (405) 626-8701 | Tracy Rehabilitative Services, Pc 1802 Riviera Dr Tuttle OK 73089-8109 Ph: (405) 626-8701 |
| NPI Number | 1396076527 |
|---|---|
| Provider Enumeration Date | 01/28/2010 |
| Last Update Date | 01/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396076527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 4228 (Oklahoma) | Primary |
| 235Z00000X | Speech-language Pathologist | 3518 (Oklahoma) | Secondary |