person
Richard Kent Tracy, CPO
Prosthetics Case Management in Northridge, California
NPI 1548929953

Richard Kent Tracy is a Prosthetics Case Management based in Northridge, CA and is specialized in Prosthetics Case Management. Richard Kent Tracy practices in Northridge, CA and has the professional credentials of CPO. The NPI Number for Richard Kent Tracy is 1548929953 and holds a License No. (California).

The current practice location address for Richard Kent Tracy is 18250 Roscoe Blvd Ste 250, Northridge, CA and can be reached out via phone at 818-349-2230.

Location: 18250 Roscoe Blvd Ste 250, Northridge, CA, 91325-4275
person
Provider Profile Details
NPI Number
1548929953
Provider Name
Richard Kent Tracy
Credential
CPO
Provider Entity Type
Individual
Gender
Male
Address
18250 Roscoe Blvd Ste 250, Northridge, CA, 91325-4275
Phone Number
818-349-2230
Fax Number
Provider Enumeration Date
12/13/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4315600002 01 PTAN
institution
Provider Business Practice Location Address Details
Address
18250 Roscoe Blvd Ste 250
City
State
Zip
91325-4275
Phone Number
818-349-2230
Fax Number
person
Provider Business Mailing Address Details
Address
18250 Roscoe Blvd Ste 250
City
State
Zip
91325-4275
Phone Number
818-349-2230
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
License No.
()
Definition
Definition to come...
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