Individual
LACEY STONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
11018 STATE HIGHWAY 18 STE 3, CONNEAUT LAKE, PA 16316-3556
(814) 783-0051
Mailing address
11018 STATE HIGHWAY 18 STE 3, CONNEAUT LAKE, PA 16316-3556
(814) 783-0051
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC011661
PA
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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