Individual
MRS. STACEY LYNN CREECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
911 W MAIN ST, EATON, OH 45320-9520
(937) 287-9526
Mailing address
911 W MAIN ST, EATON, OH 45320-9520
(937) 287-9526
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA06296
OH
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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