Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS STACEY JO CHUDOMELKA, PTA
ActiveMISS STACEY JO CHUDOMELKA, PTA is a Occupational Therapist healthcare provider located in OSHKOSH, Nebraska. NPI 1780017921 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · OSHKOSH, NE
Registration Details
- NPI Number
- 1780017921
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 12, 2013 (12.981675840562 yrs)
- Last Updated
- Aug 12, 2013
- License
-
1209 (NE)
Practice Information
- Address
-
1100 W 2ND STOSHKOSH, NE, 691546152Browse NE providers · Browse ZIP 69154
- Phone
- 3087723283
- Primary Specialty
-
Occupational Therapist
225200000X
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.