Provider Demographics
NPI:1831586056
Name:PYRZ, TRACI BRUNO (MS, OTR/L)
Entity type:Individual
Prefix:
First Name:TRACI
Middle Name:BRUNO
Last Name:PYRZ
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 SUMMERWIND LN
Mailing Address - Street 2:
Mailing Address - City:HARLEYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19438-1863
Mailing Address - Country:US
Mailing Address - Phone:908-902-3115
Mailing Address - Fax:
Practice Address - Street 1:213 SUMMERWIND LN
Practice Address - Street 2:
Practice Address - City:HARLEYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19438-1863
Practice Address - Country:US
Practice Address - Phone:908-902-3115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-26
Last Update Date:2019-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC012115225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics