Most Relevant Information
Provider Data
| NPI Number: | 1003432964 |
| Provider Name: | TRACY LYNN KURFMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 160000352 |
Most Important Dates
| Enumeration Date: | 06/17/2020 |
| Last Updated: | 06/17/2020 |
Provider Practice Location
102 PRAIRIE MILLS RD
GOLDEN
IL
623391055
Practice Location Phone/Fax
| Phone: | 2176964446 |
| Fax: |
Provider Mailing Location
1005 BROADWAY ST
QUINCY
IL
623012834
Provider Mailing Phone/Fax
| Phone: | 2172238400 |
| Fax: | 2172773960 |