Individual
ALEXA STACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
510 W BELMONT AVE APT 2401, CHICAGO, IL 60657-4636
(616) 490-5927
Mailing address
510 W BELMONT AVE APT 2401, CHICAGO, IL 60657-4636
(616) 490-5927
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
IL
Other
Enumeration date
10/25/2025
Last updated
10/25/2025
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