Alcorn, Tracey L

Alcorn, Tracey L is an individual health care provider with primary practice located at 2200 Ironwood Pl , Coeur D Alene ID 83814-2610. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Alcorn, Tracey L can be contacted via phone (208) 667-6486.

Contact Information

Primary practice address
2200 Ironwood Pl Coeur D Alene ID 83814-2610
Phone: (208) 667-6486
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA-190 Idaho

Profile Details

NPI number 1396941134
LBN Legal business name Alcorn, Tracey L
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2007
Last updated Jul 8th, 2007 - about 18 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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