Individual
MRS. STACY DYAN BELANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1200 E PECAN ST, ALTUS, OK 73521-6141
(580) 379-5820
Mailing address
1200 E PECAN ST, ALTUS, OK 73521-6141
(580) 379-5820
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1622
OK
Other
Enumeration date
10/14/2009
Last updated
10/14/2009
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