Individual
STACY JOYCE VANNOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
901 HASTEAD BLVD, ELIZABETH CITY, NC 27909
(252) 338-0137
(252) 338-4512
Mailing address
220-1 FLAT BRANCH RD, GATESVILLE, NC 27938-9621
(252) 357-5235
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5250
NC
Other
Enumeration date
04/25/2008
Last updated
04/25/2008
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