| NPI | 1952867673 |
|---|---|
| Former Name | STACIE JOZWIAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT23259) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119007991) |
| Enumeration Date | 2019-02-18 |
| Last Update Date | 2025-06-02 |