| NPI | 1396799789 |
|---|---|
| Former Name | STACEY A GIBLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 103316) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: SD 0649) |
| 225X00000X Occupational Therapist (Licence: NV 0782) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2016-11-02 |