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Stacy Nichols, COTA/L
NPI 1295276137 · on the registry since 2017
Practice
- Address
- 1 Georgian Gardens Dr
Potosi, MO 63664 - Phone
- (573) 438-6261
- Organisation at this address
- Phgg, Llc
Potosi Snf Operations, Llc
Georgian Gardens Opco, Llc
Georgian Gardens Healthcare Llc
Georgian Gardens Operations Management LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Occupational Therapy Assistant
224Z00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-03-11
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 Missouri