Individual
STACY HUA THAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
600 FULLWOOD RD, MATTHEWS, NC 28105-2659
(704) 841-4920
Mailing address
6215 FOREST WAY DR APT 412, CHARLOTTE, NC 28212-6776
(828) 781-3371
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14403
NC
Other
Enumeration date
12/21/2021
Last updated
12/21/2021
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