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Individual

DR. STACEY S CAPLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD, OTR/L

Contact information

Practice address
1004 ROSEWATER LN, INDIAN TRAIL, NC 28079-3712
(704) 283-0028
Mailing address
2023 WESTMINSTER LN, MATTHEWS, NC 28104-3184
(318) 444-1215

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Z10965
LA
225XP0200X
Pediatric Occupational Therapist
Primary
12259
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1720208
LA
Enumeration date
04/18/2008
Last updated
03/28/2019
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