Stacy Lei Kaniut

NPI #1912640871 in Stafford, Virginia

Provider Information

NPI Number: 1912640871
Entity Type: Individual
Name: Stacy Lei Kaniut
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Apr 19, 2022
Last Updated: Apr 28, 2025

Practice Location

Address: 2765 RICHMOND HWY STE 203
City: Stafford
State: Virginia
ZIP Code: 22554-8331
Phone: (504) 446-5323

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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