# STACY M CONWAY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1821012964
- **Gender:** F
- **Credential:** M.S., OTR/L

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 3045 | SC | — |
| 225X00000X | Occupational Therapist | 7880 | MA | Yes |

## Other

- **Enumeration date:** 07/26/2006
- **Last updated:** 06/30/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | TH1625 | — | SC |