Jezouit, Stacy M
Jezouit, Stacy M is an individual health care provider with primary practice located at 230 Farmington Ave , Farmington CT 06032-1916. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Jezouit, Stacy M can be contacted via phone (860) 674-1824.Contact Information
Primary practice address
230 Farmington Ave
Farmington CT 06032-1916
Phone: (860) 674-1824
Fax: (860) 674-1836
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 003498 | Connecticut |
Profile Details
| NPI number | 1134365240 |
|---|---|
| LBN Legal business name | Jezouit, Stacy M |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2008 |
| Last updated | Jan 25th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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