National Provider Identifier Database

TRACEY L AIRTH EDBLOM, OTR/L, CHT – NPI #1053571307
Hand


Contact Information

TRACEY L AIRTH EDBLOM, OTR/L, CHT
226 WELLER ST
PETALUMA, CA94952-3136
Phone: 707-762-7678
Fax: 707-762-7679
Website:
Specialty Taxonomy Code
* Hand 225XH1200X

* Indicates primary specialty

NPI Profile & details for TRACEY L AIRTH EDBLOM

NPI Number 1053571307
Credentials OTR/L, CHT
Entity Individual
Enumeration date 06/11/2008
Last updated 06/11/2008 - About 18 years ago
Sole proprietor1 No
Identifiers
  • CA License #: OT345
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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