Tracy Allison Brauner
Occupational Therapist - Gerontology
4315 Chain Bridge Rd
Fairfax
, Virginia 22030-3061
Tracy Allison Brauner
Occupational Therapist - Gerontology
4315 Chain Bridge Rd
Fairfax
, Virginia 22030-3061
(813) 789-7196
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About
Features
Specialties
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Tracy Allison Brauner
- 14085 Trouville Dr
- Tampa, FL
- Zip : 33624-6963
- Phone : (813) 789-7196
Second Address
- Tracy Allison Brauner
- 4315 Chain Bridge Rd
- Fairfax, VA
- Zip : 22030-3061
- Phone : (703) 934-5000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XG0600X | Occupational Therapist - Gerontology | 0119004507 | VA |
National Provider Identifier
| NPI | 1245521772 |
|---|---|
| Provider Name | Tracy Allison Brauner |
| First Address | Tampa, FL 33624-6963 |
| Second Address | Fairfax, VA 22030-3061 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/05/2011 |
| Last Update Date | 02/05/2011 |
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.