Airth-Edblom, Tracey L

Airth-Edblom, Tracey L is an individual health care provider with primary practice located at 226 Weller St , Petaluma CA 94952-3136. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as her primary health care specialty. Airth-Edblom, Tracey L can be contacted via phone (707) 762-7678.

Contact Information

Primary practice address
226 Weller St Petaluma CA 94952-3136
Phone: (707) 762-7678
Fax: (707) 762-7679
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X OT345 California

Profile Details

NPI number 1053571307
LBN Legal business name Airth-Edblom, Tracey L
Credentials OTR/L, CHT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2008
Last updated Jun 11th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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