Individual
MRS. STACEY MARIE STINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
98 HOSPITALITY DR, BARRE, VT 05641-5360
(802) 488-0909
Mailing address
98 HOSPITALITY DR, BARRE, VT 05641-5360
(802) 488-0909
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
073.0000187
VT
224Z00000X
Occupational Therapy Assistant
Primary
17-1423
NV
Other
Enumeration date
11/28/2015
Last updated
03/19/2019
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