Individual
STACY M PFARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
530 RED PINE LN, EAGAN, MN 55123-2182
(651) 423-7870
Mailing address
15120 PORTLAND AVE, BURNSVILLE, MN 55306-5005
(612) 802-3883
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
102531
MN
Other
Enumeration date
03/18/2026
Last updated
03/18/2026
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