Stacie L Walter, O.T.

NPI #1962546945 in Belleville, Illinois

Provider Information

NPI Number
1962546945
Entity Type
Individual
Name
Stacie L Walter, O.T.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapist
Credential
O.T.
Enumeration Date
Feb 16, 2007
Last Updated
Jan 12, 2023

Practice Location

Address
2810 FRANK SCOTT PKWY W
Address 2
SUITE 824
ZIP Code
62223-5007
Phone
(618) 234-9705

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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