Individual
STACY BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 E MAIN ST STE 200, WYTHEVILLE, VA 24382-3322
(276) 525-6043
Mailing address
872 NEW BETHEL RD, WYTHEVILLE, VA 24382-3049
(540) 336-1906
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119004607
VA
225X00000X
Occupational Therapist
Primary
—
VA
Other
Enumeration date
07/04/2021
Last updated
07/04/2021
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