STACY ELIZABETH VANWASSENHOVE

MOORESVILLE, NC
NPI1679530547
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NC  5215)
Additional Taxonomies225XP0200X Occupational Therapist, Pediatrics
(Licence: NC  5215)
Enumeration Date2006-04-26
Last Update Date2007-07-08
Business Address
Miss STACY ELIZABETH VANWASSENHOVE OTR L
137 OVERHILL DR SUITE 102
MOORESVILLE, NC 28117-8006
Phone number: 704-799-6824
Mailing Address
Miss STACY ELIZABETH VANWASSENHOVE OTR L
1121 FIELDSTONE RD
MOORESVILLE, NC 28115-2737
Phone number: