Individual
MS. STACY AMBROSECCHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1735 KNOLL TER, SAINT PETERS, MO 63376-7563
(636) 378-8636
Mailing address
1735 KNOLL TER, SAINT PETERS, MO 63376-7563
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2012018238
MO
Other
Enumeration date
11/20/2025
Last updated
11/20/2025
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