Roach, Tracey Lynne

Roach, Tracey Lynne is an sole proprietor health care provider with primary practice located at 3001 S Jackson St , San Angelo TX 76904-5129. 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. Roach, Tracey Lynne can be contacted via phone (325) 223-6300.

Contact Information

Primary practice address
3001 S Jackson St San Angelo TX 76904-5129
Phone: (325) 223-6300
Fax: (325) 223-6448
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 108620 Texas

Profile Details

NPI number 1720130206
LBN Legal business name Roach, Tracey Lynne
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2007
Last updated Jul 1st, 2021 - about 4 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 1720130206 NPPES
Texas MEDICAID 1720130206

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