Individual
STACY BETH MONK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
860 WESLEY CIRCLE APT 104, APOPKA, FL 32703
(256) 590-1480
Mailing address
860 WESLEY CIR APT 104, APOPKA, FL 32703-8646
(256) 590-1480
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
16043
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16043
DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE
FL
Enumeration date
08/09/2017
Last updated
07/21/2022
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