MISS Staci Rae Bleecker, COTA/L

NPI #1023556131 in Lisbon, North Dakota

Provider Information

NPI Number
1023556131
Entity Type
Individual
Name
MISS Staci Rae Bleecker, COTA/L
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTA/L
Enumeration Date
Feb 9, 2017
Last Updated
Nov 12, 2019

Practice Location

Address
905 MAIN ST
City
Lisbon
ZIP Code
58054-4334
Phone
(701) 683-6402

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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