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:
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Health care specialties

SpecialtyCodeLicense #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 19 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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