Individual provider · Type 1 NPI

Nicole Stack

Occupational Therapist · Suffern, NY

NPI number 1548645443 Active

Practice location

255 Lafayette Ave
Suffern, NY 10901-4812

Call (845) 368-5000 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X016527 (NY)

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 1548645443

Nicole Stack's National Provider Identifier is 1548645443, issued on Jul 21, 2015. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Suffern, NY. The record was last updated on Jul 21, 2015.