SearchIllinois224ZF0002X

Stacey Bryant, COTA

NPI 1083298806 · on the registry since 2021

Practice

Address
530 Oak Hill Dr
Edwardsville, IL 62025
Phone
(618) 670-3552

Registry record

Primary taxonomy
224ZF0002X
224ZF0002X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-05-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois