Dumphy, Tracey Renee

Dumphy, Tracey Renee is an sole proprietor health care provider with primary practice located at 1024 Florida Ave S Ste. 6, Rockledge FL 32955-2152. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Dumphy, Tracey Renee can be contacted via phone (321) 634-3688.

Contact Information

Primary practice address
1024 Florida Ave S Ste. 6 Rockledge FL 32955-2152
Fax: (321) 504-0955
Website:

Health care specialties

Profile Details

NPI number 1104076587
LBN Legal business name Dumphy, Tracey Renee
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 23rd, 2008
Last updated Sep 23rd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104076587 NPPES
Florida MEDICAID OT 13317

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