Individual
STACEY ELAINE PECAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
450 W BROAD ST STE 215, FALLS CHURCH, VA 22046-3318
(703) 618-8865
Mailing address
1423 1ST ST NW APT B, WASHINGTON, DC 20001-2277
(703) 618-8865
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
0119004778
VA
225XP0200X
Pediatric Occupational Therapist
Primary
OT010000830
DC
Other
Enumeration date
09/22/2017
Last updated
09/22/2017
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