Individual
MRS. STACEY MARIE LORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
8200 HOMER DR STE F, ANCHORAGE, AK 99518-3330
(907) 345-0050
(907) 344-5103
Mailing address
3222 CARRIAGE DR, ANCHORAGE, AK 99507-2236
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1537
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OT15371
—
AK
Enumeration date
11/01/2006
Last updated
07/08/2007
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