Tracy, Genelda Annetta
Tracy, Genelda Annetta is an individual health care provider with primary practice located at 18988 Grovewood Dr , Corona CA 92881-3725. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Tracy, Genelda Annetta can be contacted via phone (951) 735-5696.Contact Information
Primary practice address
18988 Grovewood Dr
Corona CA 92881-3725
Phone: (951) 735-5696
Fax: (951) 279-2382
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT6274 | California |
Profile Details
| NPI number | 1265652895 |
|---|---|
| LBN Legal business name | Tracy, Genelda Annetta |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 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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