Individual
STEFANIA RUSIECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
100 TELETECH DR STE 1, MOUNDSVILLE, WV 26041-2790
(740) 391-9406
Mailing address
720 TOWNSHIP ROAD 154, RAYLAND, OH 43943-7916
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C2153
WV
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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