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Tracy Lane, COTA/L

NPI 1235714924 · on the registry since 2021

Practice

Address
1910 E Mccord St
Centralia, IL 62801
Phone
(618) 533-1200
Clinicians at this address
9

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-03-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois