SearchMissouriOccupational Therapy Assistant

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 Llc
Inferred 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