Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stacey Rae Croson, MOT, OTL

Individual provider Occupational Therapist · NPI 1902417637

Stacey Rae Croson, MOT, OTL is an Occupational Therapist in Saint Joseph, Michigan. Licensed in Indiana and Michigan. Registered with an NPI since 2020.

Licensed in
IN, MI
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1704 Lakeview Ave
Saint Joseph, MI 49085-1643
Phone: (812) 571-4658
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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 5201013903 (MI)
Occupational Therapist Taxonomy 225X00000X · Licence 315005094A (IN)

Record details

NPI number1902417637
Entity typeIndividual (Type 1)
GenderFemale
Credentials MOT , OTL
Sole proprietorNo
NPI enumeratedAugust 14, 2020
Last updated in NPPESJuly 5, 2024
Certification dateJuly 5, 2024

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