Angus, Tracy Lynn
Angus, Tracy Lynn is an individual health care provider with primary practice located at 7243 Us Highway 301 S , Riverview FL 33578-8399. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Angus, Tracy Lynn can be contacted via phone (813) 663-9828.Contact Information
Primary practice address
7243 Us Highway 301 S
Riverview FL 33578-8399
Phone: (813) 663-9828
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | OT11118 | Florida |
Profile Details
| NPI number | 1366654261 |
|---|---|
| LBN Legal business name | Angus, Tracy Lynn |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2007 |
| Last updated | Sep 29th, 2017 - about 8 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 | 1366654261 | NPPES |
| Florida | MEDICAID | 022100400 |
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