Stacey Eickholt, OTD, OTR/L

NPI #1457782716 in Lima, Ohio

Provider Information

NPI Number: 1457782716
Entity Type: Individual
Name: Stacey Eickholt, OTD, OTR/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTD, OTR/L
Enumeration Date: Dec 11, 2013
Last Updated: May 1, 2021

Practice Location

Address: 4612 MEADOW VIEW DR
City: Lima
State: Ohio
ZIP Code: 45805-4519
Phone: (419) 303-2565

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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