Stacy A Slavens, MOTRL

NPI #1811234693 in Red Bud, Illinois

Provider Information

NPI Number: 1811234693
Entity Type: Individual
Name: Stacy A Slavens, MOTRL
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: MOTRL
Enumeration Date: Jan 14, 2013
Last Updated: Jan 14, 2013

Practice Location

Address: 325 SPRING ST
City: Red Bud
State: Illinois
ZIP Code: 62278-1105
Phone: (618) 282-4969

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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