Individual
MISS STACIE L. SCALISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
11 BRI LAN AVE, APT #1, EAST GREENBUSH, NY 12061-2727
(518) 588-4185
Mailing address
11 BRI LAN AVE, APT #1, EAST GREENBUSH, NY 12061-2727
(518) 588-4185
Taxonomy
Speciality
Code
Description
License number
State
224ZE0001X
Environmental Modification Occupational Therapy Assistant
Primary
007899-1
NY
Other
Enumeration date
08/23/2011
Last updated
08/23/2011
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