Individual
STACY CADWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
205 CHURCH ST, STRYKER, OH 43557-7709
(419) 551-1094
Mailing address
205 CHURCH ST, STRYKER, OH 43557-7709
(419) 551-1094
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT009820
OH
Other
Enumeration date
11/08/2019
Last updated
11/08/2019
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