Most Relevant Information
Provider Data
| NPI Number: | 1003383811 |
| Provider Name: | JOHN PATRICK TRACEY PT |
| Entity Type: | Individual |
| Taxonomy Code: | 2251S0007X |
| Specialty: | Physical Therapist |
| License Number: | PT011276L |
Most Important Dates
| Enumeration Date: | 10/30/2018 |
| Last Updated: | 10/30/2018 |
Provider Practice Location
1648 HUNTINGDON PIKE
MEADOWBROOK
PA
190468001
Practice Location Phone/Fax
| Phone: | 2159355621 |
| Fax: | 2159381519 |
Provider Mailing Location
1648 HUNTINGDON PIKE
MEADOWBROOK
PA
190468001
Provider Mailing Phone/Fax
| Phone: | 2159355621 |
| Fax: | 2159381519 |