Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stacey Nichole Prunoske, OTRL

Individual provider Occupational Therapist · NPI 1609079946

Stacey Nichole Prunoske, OTRL is an Occupational Therapist in Boca Raton, Florida. Licensed in Florida, North Carolina and Virginia. Registered with an NPI since 2007.

Licensed in
FL, NC, VA
In the registry since
2007
Specialties on file
3
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Practice location Address checks out

5901 Broken Sound Pkwy NW Ste 500
Boca Raton, FL 33487-2773
Phone: (800) 875-8999
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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 OT12660 (FL)
Occupational Therapist Taxonomy 225X00000X · Licence 6170 (NC)
Occupational Therapist Taxonomy 225X00000X · Licence 0119004417 (VA)

Record details

NPI number1609079946
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTRL
Sole proprietorNo
NPI enumeratedJune 6, 2007
Last updated in NPPESJuly 8, 2007

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