Individual
STACEY DENISE ROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
17028 CADBURY CIR, UNIT 1, LEWES, DE 19958-7022
(302) 645-6400
Mailing address
241 ELM ST, READING, PA 19606-2801
(610) 781-7059
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP006926
PA
224Z00000X
Occupational Therapy Assistant
U2-0001239
DE
Other
Enumeration date
01/14/2013
Last updated
01/14/2013
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