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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS STACI RAE BLEECKER, COTA/L

Active

MISS STACI RAE BLEECKER, COTA/L is a Occupational Therapy Assistant healthcare provider located in LISBON, North Dakota. NPI 1023556131 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · LISBON, ND

Registration Details

NPI Number
1023556131
Provider Type
Individual
Gender
Female
NPI Issued
Feb 9, 2017 (9.4718805975987 yrs)
Last Updated
Nov 12, 2019
License
1260 (ND)

Practice Information

Address
905 MAIN ST
LISBON, ND, 580544334
Browse ND providers · Browse ZIP 58054
Phone
7016836402
Primary Specialty
Occupational Therapy Assistant
224Z00000X
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.