Willis, Stacey Latrice

Willis, Stacey Latrice is an sole proprietor health care provider with primary practice located at 4513 Jon Stone Ln , Arlington TN 38002-7536. 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. Willis, Stacey Latrice can be contacted via phone (901) 461-0621.

Contact Information

Primary practice address
4513 Jon Stone Ln Arlington TN 38002-7536
Phone: (901) 461-0621
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 2827 Tennessee

Profile Details

NPI number 1962760066
LBN Legal business name Willis, Stacey Latrice
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2012
Last updated Apr 26th, 2012 - about 13 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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