NPI 1023556131

Staci Rae Bleecker, COTAL

Practitioner Occupational Therapy Assistant Lisbon, ND

Practice location

Address: 905 Main St, Lisbon, ND 58054-4334
Phone: (701) 683-6402
Mailing address: 11 N Main St, Gwinner, ND 58040-4001

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 1260 (ND)

Other Occupational Therapy Assistant providers in North Dakota →

Registry record

NPI: 1023556131
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Feb 2017
Record last updated: 12 Nov 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.