Individual provider · Type 1 NPI

Jaime Elizabeth Stacy, OTDS

Student in an Organized Health Care Education/Training Program · Charleston, SC

NPI number 1194436543 Active

Practice location

151-B Rutledge Ave
Charleston, SC 29425-9620

Call (843) 792-0701 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1194436543

Jaime Elizabeth Stacy, OTDS's National Provider Identifier is 1194436543, issued on Dec 7, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Charleston, SC. The record was last updated on Dec 7, 2022.