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1952061673
STACY HUA THAO
MATTHEWS, NC
NPI
1952061673
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NC 14403)
Enumeration Date
2021-12-21
Last Update Date
2021-12-21
Business Address
STACY HUA THAO OTR/L
600 FULLWOOD RD
MATTHEWS, NC 28105-2659
Phone number: 704-841-4920
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Mailing Address
STACY HUA THAO OTR/L
6215 FOREST WAY DR APT 412
CHARLOTTE, NC 28212-6776
Phone number: 828-781-3371
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