Individual
STACY BRISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13431 OLD MERIDIAN ST, SUITE 225, CARMEL, IN 46032-7101
(317) 249-2616
(317) 249-2618
Mailing address
13431 OLD MERIDIAN ST, SUITE 225, CARMEL, IN 46032-7101
(317) 249-2616
(317) 249-2618
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
310017421A
IN
Other
Enumeration date
01/19/2017
Last updated
01/19/2017
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