Liles, Mary Stacy
Liles, Mary Stacy is an sole proprietor health care provider with primary practice located at 4833 Staghorn Ct , Winter Springs FL 32708-4926. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Liles, Mary Stacy can be contacted via phone (407) 760-7030.Contact Information
Primary practice address
4833 Staghorn Ct
Winter Springs FL 32708-4926
Phone: (407) 760-7030
Fax: (321) 972-5028
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT 9254 | Florida |
Profile Details
| NPI number | 1912123399 |
|---|---|
| LBN Legal business name | Liles, Mary Stacy |
| Credentials | OTRL |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 17th, 2007 |
| Last updated | Jun 1st, 2009 - 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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