Stacey Marie Bentley, OTR

NPI #1821187642 in Aztec, New Mexico

Provider Information

NPI Number: 1821187642
Entity Type: Individual
Name: Stacey Marie Bentley, OTR
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: Oct 12, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 19 ROAD 3390
City: Aztec
State: New Mexico
ZIP Code: 87410-9573
Phone: (505) 860-3766

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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