Individual
STACY-JO KRASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
844 WASHINGTON RD STE 101, WESTMINSTER, MD 21157-6664
(410) 876-5600
(410) 876-1623
Mailing address
350 NEW FIDELITY CT, GARNER, NC 27529-2665
(919) 258-2714
(410) 648-4878
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
04613
MD
Other
Enumeration date
12/27/2018
Last updated
09/28/2020
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