Stacie Lynn Otis, PTA
NPI #1295050912 in Springfield, Vermont
Provider Information
- NPI Number
- 1295050912
- Entity Type
- Individual
- Name
- Stacie Lynn Otis, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Apr 6, 2010
- Last Updated
- Apr 6, 2010
Practice Location
- Address
- 25 RIDGEWOOD RD
- City
- Springfield
- State
- Vermont
- ZIP Code
- 05156-3050
- Phone
- (802) 885-2151
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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