NPI 1295050912

Stacie Lynn Otis, PTA

Practitioner Physical Therapy Assistant Springfield, VT

Practice location

Address: 25 Ridgewood Rd, Springfield, VT 05156-3050
Phone: (802) 885-2151
Mailing address: 165 Park St, Springfield, VT 05156-3035

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 041.0000358 (VT)

Other Physical Therapy Assistant providers in Vermont →

Registry record

NPI: 1295050912
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Apr 2010
Record last updated: 6 Apr 2010

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.