Individual
STACY DINGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
541 STATE ROUTE 664 N, SUITE A, LOGAN, OH 43138-8541
(740) 380-8284
Mailing address
1717 QUAIL MEADOWS DR, LANCASTER, OH 43130-8152
(740) 687-5275
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3645
OH
Other
Enumeration date
03/06/2014
Last updated
03/06/2014
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