Individual
STACY M CONWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
35 BLANCHE ST, DRACUT, MA 01826-3823
(617) 359-5855
Mailing address
35 BLANCHE ST, DRACUT, MA 01826-3823
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
3045
SC
225X00000X
Occupational Therapist
Primary
7880
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH1625
—
SC
Enumeration date
07/26/2006
Last updated
06/30/2014
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