Uditsky, Tracey Gail
Uditsky, Tracey Gail is an sole proprietor health care provider with primary practice located at 1951 6Th St , La Verne CA 91750-4432. 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. Uditsky, Tracey Gail can be contacted via phone (909) 973-4365.Contact Information
Primary practice address
1951 6Th St
La Verne CA 91750-4432
Phone: (909) 973-4365
Fax: (909) 510-8196
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT4910 | California |
Profile Details
| NPI number | 1124356688 |
|---|---|
| LBN Legal business name | Uditsky, Tracey Gail |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 20th, 2009 |
| Last updated | Nov 20th, 2009 - about 15 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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