Individual
MRS. STACY SLAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1941 SAVAGE RD, SUITE 400C, CHARLESTON, SC 29407-4704
(843) 571-2700
Mailing address
3311 NW 64TH ST, FORT LAUDERDALE, FL 33309-1613
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3101
SC
Other
Enumeration date
07/24/2007
Last updated
07/24/2007
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