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NPI Code Detail

MEDICARE: STACY DEES OTR

MEDICARE: STACY DEES OTR
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 Therapist102805TX

General Provider Information

NPI Number : 1598246258
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACY DEES OTR
Provider Business Mailing Address
First Line : 1700 PROVIDENCE DR
Second Line :
City : WACO
State : TX
Zip : 76707-2260
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1700 PROVIDENCE DR
Second Line :
City : WACO
State : TX
Zip : 76707-2260
Country : US
Telephone Number : 254-761-8500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2018
Last Update Date : 08/21/2018

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Directions to “ STACY DEES OTR” Practice Location

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