Stacie Michelle Van Dam
Stacie Michelle Van Dam is an Occupational Therapy Assistant in Dayton, Ohio. Practices as a sole proprietor. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2018
Practice location Address checks out
421 Towanda CirDayton, OH 45431-2132
Phone: (937) 974-5138
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapy Assistant (primary) | Taxonomy 224Z00000X · Licence 245809 (OR) |
|---|
Record details
| NPI number | 1174008668 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 1, 2018 |
| Last updated in NPPES | October 1, 2018 |
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