NPI
Tracey L Airth-Edblom
NPI 1053571307
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- OTR/L, CHT
- Type
- Individual
- Enumeration date
- 2008-06-11
- Last updated
- 2008-06-11
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Specialties
Licenses
- License CA
- OT345
Location
- Practice location
- 226 Weller St
- City
- Petaluma CA
- Postal code
- 94952-3136
- Phone
- (707) 762-7678
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Petaluma, CA. 2,195 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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