Most Relevant Information
Provider Data
| NPI Number: | 1003040908 |
| Provider Name: | TRACY M COLLETTA MSOTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225XP0200X |
| Specialty: | Occupational Therapist |
| License Number: | 015033-1 |
Most Important Dates
| Enumeration Date: | 05/06/2009 |
| Last Updated: | 02/15/2012 |
Provider Practice Location
27 CRANE RD
SCARSDALE
NY
105834251
Practice Location Phone/Fax
| Phone: | 9146394403 |
| Fax: |
Provider Mailing Location
27 CRANE RD
SCARSDALE
NY
105834251
Provider Mailing Phone/Fax
| Phone: | 3146934403 |
| Fax: |