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

Individual provider Pediatric Occupational Therapist · NPI 1841614013

Stacy M Cisco, OTR/L is a Pediatric Occupational Therapist in Lima, Ohio. Licensed in Ohio. Registered with an NPI since 2014.

Licensed in
OH
In the registry since
2014
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

755 Saint Johns Ave
Lima, OH 45804-1552
Phone: (419) 996-3400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 003144 (OH)

Record details

NPI number1841614013
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedFebruary 9, 2014
Last updated in NPPESFebruary 9, 2014

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