Individual
STACEY ROYAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1240 PINEBROOK RD, VENICE, FL 34285-6421
(941) 488-6733
Mailing address
1240 PINEBROOK RD, VENICE, FL 34285
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
FL
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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