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
Phone: (321) 634-3688
Fax: (321) 504-0955
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT 13317 | Florida |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104076587 | NPPES |
Florida | MEDICAID | OT 13317 |
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