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NPI Code Detail

MEDICARE: ALYSON STANTON

MEDICARE: ALYSON STANTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist
2225XP0200XPediatric Occupational Therapist

General Provider Information

NPI Number : 1508383951
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSON STANTON
Provider Business Mailing Address
First Line : 35037 HEARTLAND DR
Second Line :
City : DADE CITY
State : FL
Zip : 33523-1257
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13540 17TH ST
Second Line :
City : DADE CITY
State : FL
Zip : 33525-5244
Country : US
Telephone Number : 352-437-5151
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2017
Last Update Date : 04/23/2025

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Directions to “ ALYSON STANTON ” Practice Location

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