Mrs. Tracey Lynn Minkin
Occupational Therapist - Gerontology
1031 Seminole Dr
Fort Lauderdale
, Florida 33304-3243
Mrs. Tracey Lynn Minkin
Occupational Therapist - Gerontology
1031 Seminole Dr
Fort Lauderdale
, Florida 33304-3243
(954) 695-2950
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About
Features
Specialties
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Mrs. Tracey Lynn Minkin
- 1110 Se 5th Ct
- Ft Lauderdale, FL
- Zip : 33301-3006
- Phone : (954) 695-2950
Second Address
- Mrs. Tracey Lynn Minkin
- 1031 Seminole Dr
- Fort Lauderdale, FL
- Zip : 33304-3243
- Phone : (954) 780-5627
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XG0600X | Occupational Therapist - Gerontology | 7532 | FL |
National Provider Identifier
| NPI | 1083200109 |
|---|---|
| Provider Name | Mrs. Tracey Lynn Minkin |
| First Address | Ft Lauderdale, FL 33301-3006 |
| Second Address | Fort Lauderdale, FL 33304-3243 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/12/2020 |
| Last Update Date | 13/12/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.