Willms, Tracy

Willms, Tracy is an individual health care provider with primary practice located at 8633 32Nd Ave , Kenosha WI 53142-5187. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Willms, Tracy can be contacted via phone (262) 694-8800.

Contact Information

Primary practice address
8633 32Nd Ave Kenosha WI 53142-5187
Fax:
Website:

Health care specialties

Profile Details

NPI number 1295948438
LBN Legal business name Willms, Tracy
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295948438 NPPES
Wisconsin MEDICAID 40825900

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