Individual
STACY L REESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
20 LOTTIE LN, NEW OXFORD, PA 17350-8458
(717) 624-1423
Mailing address
20 LOTTIE LN, NEW OXFORD, PA 17350-8458
(717) 624-1423
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP003186L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OP003186L
COTA/L NPI
PA
Enumeration date
05/17/2016
Last updated
05/17/2016
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