STACEY NICHOLE PRUNOSKE

BOCA RATON, FL
NPI1609079946
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: FL  OT12660)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: NC  6170)
225X00000X Occupational Therapist
(Licence: VA  0119004417)
Enumeration Date2007-06-06
Last Update Date2007-07-08
Business Address
-- STACEY NICHOLE PRUNOSKE OTRL
5901 BROKEN SOUND PKWY NW SUITE 500
BOCA RATON, FL 33487-2773
Phone number: 800-875-8999
Mailing Address
-- STACEY NICHOLE PRUNOSKE OTRL
10 SUMMIT ST PO BOX 654
SHERBURNE, NY 13460
Phone number: