# STACIE ANN BAGLEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1417973934
- **Gender:** F
- **Credential:** OTR L

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | OT00592 | RI | Yes |

## Other

- **Enumeration date:** 07/15/2006
- **Last updated:** 09/12/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2092 | EI NHPRC | RI |
| 01 | — | 292177 | EI BLUE CROSS | RI |
| 01 | — | 407389 | BLUE CHIP | RI |
| 01 | — | 412296 | EI BCHIP | RI |
| 01 | — | 6400144 | EI UHP | RI |