Individual
MRS. STACEY MACQUEEN POOLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
360 BIRNIE AVE, SPRINGFIELD, MA 01107-1104
(413) 794-0000
Mailing address
360 BIRNIE AVE, SPRINGFIELD, MA 01107-1104
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7871
MA
Other
Enumeration date
11/08/2009
Last updated
03/10/2014
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