Individual
MRS. STACEY ANN KASHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L, C/NDT
Contact information
Practice address
10721 NW 5TH ST, PLANTATION, FL 33324-1518
(954) 474-1418
Mailing address
10721 NW 5TH ST, PLANTATION, FL 33324-1518
(954) 474-1418
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT2907
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00544600
—
FL
Enumeration date
04/17/2012
Last updated
02/17/2022
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