Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. STACEY PEDCHENKO, COTA/L
Active Sole ProprietorMRS. STACEY PEDCHENKO, COTA/L is a Occupational Therapy Assistant healthcare provider located in DAYVILLE, Connecticut. NPI 1043894116 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · DAYVILLE, CT
Registration Details
- NPI Number
- 1043894116
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 5, 2021 (5.2662184017338 yrs)
- Last Updated
- May 5, 2021
- License
-
OTA00992 (RI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
345 COOMER HILL RDDAYVILLE, CT, 062411915Browse CT providers · Browse ZIP 06241
- Phone
- 4015238164
- 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.