Individual
STACY M WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
20 AVON MEADOW LN STE 220, AVON, CT 06001-3731
(860) 940-2413
(860) 854-2717
Mailing address
6 FERNWOOD DR, SIMSBURY, CT 06070-2902
(860) 940-2413
(860) 854-2717
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003498
CT
Other
Enumeration date
12/18/2008
Last updated
09/19/2025
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