Stacey Lynn Davis, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Litchfield, IL
NPI 1851920334 · NPPES record last updated Apr 6, 2020
Key facts
- NPI
- 1851920334
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 057.003532 (IL)
- Practice address
- 18 Pinewood Rd
Litchfield, IL 62056-1706 - Phone
- (217) 556-9126
- NPI assigned
- Apr 6, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 057.003532 | IL | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 057.003532 | IL | Yes |
Addresses
Primary practice location
18 Pinewood Rd
Litchfield, IL 62056-1706
Mailing address
18 Pinewood Rd
Litchfield, IL 62056-1706
Other providers in Litchfield, IL
- Keith Allen Cochran
- Coffman Drug Store Inc
- Janis E Collins
- Karen Cress
- Jimmy Dapog
- Melinda Sue Dehority
- Dental Professionals of Illinois, P.C.
- Patti S Durbin
- Dva Renal Healthcare Inc
- Leif F Engles
All providers in Litchfield, IL · Occupational Therapy Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.