Individual provider · Type 1 NPI

Stacey Marie Desouza

Occupational Therapist · St. Paul, MN

NPI number 1295172914 Active

Practice location

360 Sherman St, 470
St. Paul, MN 55102-2564

Call (651) 209-6520 Map

Fax (651) 209-6521

Mailing address

360 Sherman St Ste 470
St. Paul, MN 55102-2988

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X102928 (MN)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1295172914

Stacey Marie Desouza's National Provider Identifier is 1295172914, issued on Jun 4, 2013. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in St. Paul, MN. The record was last updated on Jun 4, 2013.