Tracy Lin, MS, OTR/L

Occupational Therapist · Ellenwood, GA

Individual Active NPI

NPI number 1508312984

Practice location

2508 Brookgate Way
Ellenwood, GA 30294-2390
Phone
(404) 957-5015

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NPI record

NPI
1508312984
Entity type
Individual (Type 1)
Enumeration date
August 26, 2016
Last updated
September 12, 2024
Certified
September 12, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Occupational Therapist Primary 225X00000X OT003590 GA
Pediatric Occupational Therapist 225XP0200X OT005980 GA

Mailing address

4093 Villagewood Ln
Ellenwood, GA 30294-5721
Phone
(404) 957-5015

About Tracy Lin

Tracy Lin, MS, OTR/L is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapist (code 225X00000X). The practice location is 2508 Brookgate Way, Ellenwood, GA 30294-2390. The NPI number 1508312984 was assigned on August 26, 2016 and the record was last updated on September 12, 2024.

Tracy Lin lists 2 licenses in the registry: #OT003590 (GA) for Occupational Therapist; #OT005980 (GA) for Pediatric Occupational Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tracy Lin, MS, OTR/L?

The NPI number is 1508312984.

What is the phone number of Tracy Lin?

The phone number listed for the practice location is (404) 957-5015.

Where is Tracy Lin located?

2508 Brookgate Way, Ellenwood, GA 30294-2390.

What is the taxonomy code for Tracy Lin?

The primary taxonomy code is 225X00000X – Occupational Therapist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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