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Contact Information

TRACY H VANDEVORDE, MS, OTR/L
318 EAST 116TH STREET
ABC KEITH HARING SCHOOL
NEW YORK, NY10029
 Phone: 212-426-3960
 Fax: 212-426-3961
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for TRACY H VANDEVORDE · (Female)

NPI Number 1396915013
Status Active
Credentials MS, OTR/L
Entity Individual
Enumeration date 03/10/2008
Last updated 10/12/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 056008265
  • NY License # 019713
Hospital affiliation(s) Not Available
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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