Mary Stacy Liles in Winter Springs - Occupational Therapist
Mary Stacy Liles - NPI 1912123399
Mary Stacy Liles is a Occupational Therapist in Winter Springs, Florida. Mary Stacy Liles practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Mary Stacy Liles is 1912123399. The last update date is 2009-06-01.
Mary Stacy Liles's current location address is 4833 Staghorn Ct, Winter Springs, Florida. You can contact this provider via phone number 4077607030 and fax number 3219725028. The mailing address for Mary Stacy Liles is 4833 Staghorn Ct, Winter Springs, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Stacy Liles |
|---|---|
| Address | 4833 Staghorn Ct, Winter Springs, Florida |
| Phone Number | 4077607030 |
| Fax Number | 3219725028 |
| Sole Proprietor | Y |
| Credentials | OTRL |
NPI Number Detail
| NPI Number | 1912123399 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2009-06-01 |
Provider Mailing Address Detail
| Address | 4833 Staghorn Ct |
|---|---|
| City | Winter Springs |
| State | Florida (FL) |
| Post Code | 327084926 |
| Phone Number | 4077607030 |
| Fax Number | 3219725028 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | OT 9254 |
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Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mary Stacy Liles by the Centers for Medicare & Medicaid Services?
The Mary Stacy Liles has been issued the NPI (National Provider Identifier) 1912123399, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mary Stacy Liles?
The Mary Stacy Liles is situated at 4833 Staghorn Ct, in the city of Winter Springs, state of FL, with the zip code 327084926.
What is Mary Stacy Liles's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mary Stacy Liles is Occupational Therapist, and the taxonomy classification code that categorizes this area of expertise is 225X00000X.
On what date did the Mary Stacy Liles receive the assignment of its 1912123399 from the Centers for Medicare & Medicaid Services?
The Mary Stacy Liles was issued its 1912123399 by the Centers for Medicare & Medicaid Services on 2007-04-17.
When was the information regarding Mary Stacy Liles most recently updated?
The details pertaining to the Mary Stacy Liles, including its address, specialty, and other relevant information, were last refreshed on 2009-06-01.