Individual
STACIE ANN BAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
108 HIGH ST, WOONSOCKET, RI 02895-4333
(401) 767-4600
Mailing address
108 HIGH ST, WOONSOCKET, RI 02895-4333
(401) 767-4600
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00592
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2092
EI NHPRC
RI
01
—
292177
EI BLUE CROSS
RI
01
—
407389
BLUE CHIP
RI
01
—
412296
EI BCHIP
RI
01
—
6400144
EI UHP
RI
Enumeration date
07/15/2006
Last updated
09/12/2023
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