Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. STACIE NWABUEZE, PHD
ActiveDR. STACIE NWABUEZE, PHD is a Occupational Therapy Assistant healthcare provider located in JACKSON, Louisiana. NPI 1619353406 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · JACKSON, LA
Registration Details
- NPI Number
- 1619353406
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 4, 2015 (11.037060549373 yrs)
- Last Updated
- Aug 4, 2015
- License
-
LRC-790 (LA)
Practice Information
- Address
-
3050 CHARLES DRJACKSON, LA, 707486135Browse LA providers · Browse ZIP 70748
- Phone
- 2256343517
- Fax
- 2256345057
- Primary Specialty
-
Occupational Therapy Assistant
225400000X
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.