Individual
ALEXA KATE STUCKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5871 HARBOUR VIEW BLVD, SUFFOLK, VA 23435-3669
(757) 512-7570
Mailing address
5871 HARBOUR VIEW BLVD, SUFFOLK, VA 23435-3669
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
06/25/2020
Last updated
06/25/2020
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