Individual
STACEY NOBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
108 N MAIN ST, SUNDERLAND, MA 01375-9502
(413) 665-8717
Mailing address
108 N MAIN ST, SUNDERLAND, MA 01375-9502
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8091
MA
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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