Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Holly Stacy, OTR/L

Individual provider Occupational Therapist · NPI 1548768005

Mrs. Holly Stacy, OTR/L is an Occupational Therapist in Roanoke, Virginia. Licensed in Virginia. Registered with an NPI since 2018.

Licensed in
VA
In the registry since
2018
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

40 Douglas Ave NW
Roanoke, VA 24012-4611
Phone: (540) 853-2502
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 0119002952 (VA)

Record details

NPI number1548768005
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedJanuary 30, 2018
Last updated in NPPESJanuary 30, 2018

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