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Individual
MRS. STACEY V MISLAVSKY
Active
Individual
MRS. STACEY V MISLAVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0146401
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0146401
NEW YORK DEPARTMENT OF EDUCATION OCCUPATIONAL THERAPY LICENSE
NY
Enumeration date
09/08/2010
Last updated
09/08/2010
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