Garrett, Tracy Pamela

Garrett, Tracy Pamela is an sole proprietor health care provider with primary practice located at 4569 Wadita Ka Way , West Palm Beach FL 33417-8014. 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. Garrett, Tracy Pamela can be contacted via phone (561) 478-0964.

Contact Information

Primary practice address
4569 Wadita Ka Way West Palm Beach FL 33417-8014
Phone: (561) 478-0964
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT 5565 Florida

Profile Details

NPI number 1295728541
LBN Legal business name Garrett, Tracy Pamela
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2005
Last updated Aug 27th, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295728541 NPPES
Florida MEDICAID 888749700
Florida MEDICAID 810591000

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