Individual
MRS. STACEY PEDCHENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
345 COOMER HILL RD, DAYVILLE, CT 06241-1915
(401) 523-8164
Mailing address
345 COOMER HILL RD, DAYVILLE, CT 06241-1915
(401) 523-8164
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA00992
RI
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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