Individual
MRS. STACY LYN STOCKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4500 MEMORIAL DR, BELLEVILLE, IL 62226-5360
(618) 257-5758
Mailing address
807 SUNNYHILL LN, COLUMBIA, IL 62236-2085
(618) 219-5473
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT16640
FL
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
056.008900
IL
Other
Enumeration date
09/21/2012
Last updated
09/21/2022
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