Individual
STACY WING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4500 E CHERRY CREEK SOUTH DR STE 710, DENVER, CO 80246-1534
(303) 432-8487
Mailing address
2500 E HARMONY RD LOT 337, FORT COLLINS, CO 80528-9588
(720) 403-1419
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0001900
CO
Other
Enumeration date
09/19/2025
Last updated
09/19/2025
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