Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACIE PERICLOS, P.T.
ActiveSTACIE PERICLOS, P.T. is a Pediatric Occupational Therapy healthcare provider located in VAIL, Arizona. NPI 1013359611 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapy · VAIL, AZ
Registration Details
- NPI Number
- 1013359611
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 23, 2013 (13.103955937605 yrs)
- Last Updated
- Jul 23, 2013
- License
-
2957 (AZ)
Practice Information
- Address
-
13801 E BENSON HWYVAIL, AZ, 856419074Browse AZ providers · Browse ZIP 85641
- Phone
- 5208792052
- Primary Specialty
-
Pediatric Occupational Therapy
2251P0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.