Individual
MRS. STACY OLIVIA DEOLIVEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
19 TABER ST, NEW BEDFORD, MA 02740-2235
(508) 997-0791
Mailing address
19 TABER ST, NEW BEDFORD, MA 02740-2235
(508) 997-0791
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3701
MA
Other
Enumeration date
09/05/2017
Last updated
09/05/2017
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