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-- TRACEY L ALCORN -- PTA

Individual Provider (NPI-1) Active

Physical Therapy Assistant

Provider Information

NPI Number
1396941134
Provider Type
Individual Provider (NPI-1)
Credentials
PTA
Status
Active

Contact & Location

Address
2200 IRONWOOD PL, COEUR D ALENE, ID, 838142610
Phone
(208) 667-6486

Specialties & Taxonomies

Physical Therapy Assistant Primary License: ID #PTA-190

All Addresses

MAILING

PO BOX 1906

POST FALLS, ID, 838771906

LOCATION

2200 IRONWOOD PL

COEUR D ALENE, ID, 838142610

(208) 667-6486