Stacey Lea Irwin, COTA
NPI #1063640498 in Tupper Lake, New York
Provider Information
- NPI Number
- 1063640498
- Entity Type
- Individual
- Name
- Stacey Lea Irwin, COTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA
- Enumeration Date
- Jun 24, 2009
- Last Updated
- Feb 6, 2012
Practice Location
- Address
- 294 HOSLEY AVE
- City
- Tupper Lake
- State
- New York
- ZIP Code
- 12986
- Phone
- (518) 359-3322
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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