Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACIE PENDARVIS
Active Sole ProprietorTRACIE PENDARVIS is a Developmental Therapist healthcare provider located in BOSSIER CITY, Louisiana. NPI 1215200191 is currently active in the NPPES registry. Verify at CMS.
Developmental Therapist · BOSSIER CITY, LA
Registration Details
- NPI Number
- 1215200191
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 22, 2012 (14.502323965202 yrs)
- Last Updated
- Feb 22, 2012
- Sole Proprietor
- Yes
Practice Information
- Address
-
5604 PAMPUS LNBOSSIER CITY, LA, 711124951Browse LA providers · Browse ZIP 71112
- Phone
- 3184581834
- Primary Specialty
-
Developmental Therapist
222Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.