Individual
STACY A STOTESBERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2625 E SAINT LOUIS AVE, LAS VEGAS, NV 89104-4200
(702) 855-6903
Mailing address
2625 E SAINT LOUIS AVE, LAS VEGAS, NV 89104-4200
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1276
NV
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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