Stacey Nicole Meyer, OTR/L

NPI #1275693905 in Breese, Illinois

Provider Information

NPI Number: 1275693905
Entity Type: Individual
Name: Stacey Nicole Meyer, OTR/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Dec 11, 2006
Last Updated: Dec 10, 2019

Practice Location

Address: 8089 NORTHLAND DR
City: Breese
State: Illinois
ZIP Code: 62230-2547
Phone: (618) 830-6413

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary
Developmental Therapist	222Q00000X

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