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1134943012
STACEY PANICKER
DAVIE, FL
NPI
1134943012
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: FL OT25417)
Enumeration Date
2024-11-08
Last Update Date
2024-11-08
Business Address
STACEY PANICKER OTR
4301 S FLAMINGO RD STE 101
DAVIE, FL 33330-1902
Phone number: 954-312-3449
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Mailing Address
STACEY PANICKER OTR
15600 LANCE POINT PL
DAVIE, FL 33331-3332
Phone number:
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