Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. STACEY LYNN RODERICK, PTA
ActiveMS. STACEY LYNN RODERICK, PTA is a Occupational Therapist healthcare provider located in DORCHESTER, Massachusetts. NPI 1831316082 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · DORCHESTER, MA
Registration Details
- NPI Number
- 1831316082
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 19, 2007 (19.353546989552 yrs)
- Last Updated
- Jul 8, 2007
- License
-
3716 (MA)
Practice Information
- Address
-
854 DORCHESTER AVEUNIT#1DORCHESTER, MA, 021251133Browse MA providers · Browse ZIP 02125
- Phone
- 6172653735
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in DORCHESTER, MA
| Name | Credential | NPI |
|---|---|---|
| SHEILA IDELISSE OCASIO | — | 1548213283 |
| MICHAEL D TOWNSEND | PTA | 1942401658 |
| JOHN FOULSTON | PTA | 1053500728 |
| EILEEN FOULSTON | PTA | 1144419722 |
| GREGORY GDANIAN | — | 1225926710 |
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.