Individual
STACY JILL CRESCITELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
10255 NW 60TH PL, PARKLAND, FL 33076-2523
(954) 346-1476
(954) 575-0291
Mailing address
10255 NW 60TH PL, PARKLAND, FL 33076-2523
(954) 346-1476
(954) 575-0291
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT 3233
FL
Other
Enumeration date
02/26/2010
Last updated
08/03/2010
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