Lookup NPI Numbers from the NPI Registry
NPI Profile for TRACEY L AIRTH EDBLOM in PETALUMA, CA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hand |
225XH1200X | 67 | Occupational Therapist in Private Practice |
| NPI # | 1053571307 |
|
| Status | Active | |
| Credentials | OTR/L, CHT | |
| Entity | Individual | |
| Enumeration date | 06/11/2008 | |
| Last updated | 06/11/2008 - About 18 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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TRACEY L AIRTH EDBLOM
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TRACEY L AIRTH EDBLOM, OTR/L, CHT