Individual
STACY WENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
270 E STATE ST, COLUMBUS, OH 43215-4312
(614) 365-8134
Mailing address
270 E STATE ST, COLUMBUS, OH 43215-4312
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
03420
OH
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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