| NPI | 1720078306 |
|---|---|
| Former Name | STEPHANIE J KACIC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OH 1002046) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OH 003544) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2007-07-08 |