Most Relevant Information
Provider Data
| NPI Number: | 1003035486 |
| Provider Name: | TRACI ANGELIA OTR |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/24/2007 |
| Last Updated: | 03/31/2011 |
Provider Practice Location
945 TENDERFOOT HILL RD
COLORADO SPRINGS
CO
809063920
Practice Location Phone/Fax
| Phone: | 3035872241 |
| Fax: |
Provider Mailing Location
945 TENDERFOOT HILL RD
COLORADO SPRINGS
CO
809063920
Provider Mailing Phone/Fax
| Phone: | 3035872241 |
| Fax: |