MISS Elicia Marie Stasell, COTA/L

NPI #1134554157 in Tinley Park, Illinois

Provider Information

NPI Number
1134554157
Entity Type
Individual
Name
MISS Elicia Marie Stasell, COTA/L
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTA/L
Enumeration Date
Sep 10, 2013
Last Updated
Sep 10, 2013

Practice Location

Address
6775 PROSPERI DRIVE
ZIP Code
60477
Phone
(708) 478-1414

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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