Mrs. Tracy M Colletta
Occupational Therapist - Pediatrics
27 Crane Rd
Scarsdale
, New York 10583-4251
Mrs. Tracy M Colletta
Occupational Therapist - Pediatrics
27 Crane Rd
Scarsdale
, New York 10583-4251
(314) 693-4403
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About
Features
Specialties
- Occupational Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Mrs. Tracy M Colletta
- 27 Crane Rd
- Scarsdale, NY
- Zip : 10583-4251
- Phone : (314) 693-4403
Second Address
- Mrs. Tracy M Colletta
- 27 Crane Rd
- Scarsdale, NY
- Zip : 10583-4251
- Phone : (914) 639-4403
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Is Mrs. Tracy M Colletta a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0200X | Occupational Therapist - Pediatrics | 015033-1 | NY |
National Provider Identifier
| NPI | 1003040908 |
|---|---|
| Provider Name | Mrs. Tracy M Colletta |
| First Address | Scarsdale, NY 10583-4251 |
| Second Address | Scarsdale, NY 10583-4251 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/05/2009 |
| Last Update Date | 15/02/2012 |
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.