Bragg, Stacy Elizabeth

Bragg, Stacy Elizabeth is an individual health care provider with primary practice located at 634 N Main St Suite 5, O Fallon IL 62269-3733. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Bragg, Stacy Elizabeth can be contacted via phone (314) 494-6337.

Contact Information

Primary practice address
634 N Main St Suite 5 O Fallon IL 62269-3733
Phone: (314) 494-6337
Fax: (888) 452-2930
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 056.05465 Illinois

Profile Details

NPI number 1881711620
LBN Legal business name Bragg, Stacy Elizabeth
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2007
Last updated Mar 10th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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