Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. STACY BLIDER, COTA
Active Sole ProprietorMRS. STACY BLIDER, COTA is a Occupational Therapy Assistant healthcare provider located in MOMENCE, Illinois. NPI 1285096768 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · MOMENCE, IL
Registration Details
- NPI Number
- 1285096768
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 24, 2016 (10.351170310573 yrs)
- Last Updated
- Mar 24, 2016
- License
-
057002262 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
932 LOUISE DRMOMENCE, IL, 60954Browse IL providers · Browse ZIP 60954
- Phone
- 7084001173
- 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.