Individual
STACY HRADECKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(186) 674-5227
Mailing address
304 SIDNEY ST W, MORRISTOWN, MN 55052-5149
(507) 384-7763
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
201215
MN
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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