Individual
STACY J SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
10240 E VICKSBURG ST, TUCSON, AZ 85748-3462
(520) 891-5456
Mailing address
10240 E VICKSBURG ST, TUCSON, AZ 85748-3462
(520) 891-5456
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5061
AZ
Other
Enumeration date
05/04/2012
Last updated
06/14/2012
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