Stockard, Stacy Lyn

Stockard, Stacy Lyn is an individual health care provider with primary practice located at 4500 Memorial Dr , Belleville IL 62226-5360. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation is her primary health care specialty. Stockard, Stacy Lyn can be contacted via phone (618) 257-5758.

Contact Information

Primary practice address
4500 Memorial Dr Belleville IL 62226-5360
Phone: (618) 257-5758
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT16640 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation 225XP0019X 056.008900 Illinois

Profile Details

NPI number 1437400116
LBN Legal business name Stockard, Stacy Lyn
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2012
Last updated Sep 21st, 2022 - about 4 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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