Individual
STACY DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4317 EL DORADO ST, METAIRIE, LA 70006-6601
(504) 517-5437
Mailing address
4840 HIGHWAY 22 APT 724, MANDEVILLE, LA 70471-2677
(601) 395-0566
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
339900
LA
Other
Enumeration date
07/15/2008
Last updated
09/16/2025
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