Individual
STACEY SEALSCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
225 ABRAHAM FLEXNER WAY, FLOOR 6, LOUISVILLE, KY 40202-1882
(502) 561-4295
Mailing address
225 ABRAHAM FLEXNER WAY, LOUISVILLE, KY 40202-1882
(502) 561-4295
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT004258
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03446
STATE LICENSE
KY
01
—
OT004258
STATE LISC NUMBER
GA
Enumeration date
11/06/2006
Last updated
06/25/2008
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