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Individual

MRS. STACY STAHL

Active
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Individual

MRS. STACY STAHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT, OTR/L

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009232
MI
225XM0800X
Mental Health Occupational Therapist
5201009232
MI

Other

Enumeration date
05/17/2016
Last updated
07/17/2024
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