Individual
STACIE CLEMENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2200 SE GAGE BLVD A510, TOPEKA, KS 66622-0001
(913) 948-0787
Mailing address
2200 SE GAGE BLVD A510, TOPEKA, KS 66622-0001
(913) 948-0787
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-03036
KS
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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