MRS. Mary Stacy Liles, OTRL

NPI #1912123399 in Winter Springs, Florida

Provider Information

NPI Number
1912123399
Entity Type
Individual
Name
MRS. Mary Stacy Liles, OTRL
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapist
Credential
OTRL
Enumeration Date
Apr 17, 2007
Last Updated
Jun 1, 2009

Practice Location

Address
4833 STAGHORN CT
State
Florida
ZIP Code
32708-4926
Phone
(407) 760-7030

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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