Individual
STACY P MEIKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
51 W SAMPLE RD, DEERFIELD BEACH, FL 33064-3542
(954) 942-5530
Mailing address
51 W SAMPLE RD, DEERFIELD BEACH, FL 33064-3542
(954) 942-5530
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
17306
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
622236
—
FL
Enumeration date
12/15/2021
Last updated
12/15/2021
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