Individual
STACY ANN LEBEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1 POSA PL, DARTMOUTH, MA 02747-2511
(508) 996-3391
Mailing address
15 RESTFUL VALLEY RD, TIVERTON, RI 02878-2523
(401) 625-5934
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3162
MA
Other
Enumeration date
12/18/2009
Last updated
02/26/2010
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