| NPI | 1215446141 |
|---|---|
| Former Name | STACEY ELAINE PECAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: DC OT010000830) |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: VA 0119004778) |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2017-09-22 |