Tracy Rae Johanneck-utphall is a Occupational Therapy Assistant based in Racine, WI. Tracy Rae Johanneck-utphall practices in Racine, WI and has the professional credentials of COTA. The NPI Number for Tracy Rae Johanneck-utphall is 1730416769 and holds a License No. 1193-27 (Wisconsin).
The current practice location address for Tracy Rae Johanneck-utphall is 3248 Shortridge Dr, Racine, WI and can be reached out via phone at 414-550-6670.
Identifier | Type | State | Issuer |
---|---|---|---|
1193-27 | 01 | WI | WISCONSIN LICIENSURE |
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