Individual provider · Type 1 NPI

Stacey Nichole Prunoske, OTRL

Occupational Therapist · Boca Raton, FL

NPI number 1609079946 Active

Practice location

5901 Broken Sound Pkwy NW, Suite 500
Boca Raton, FL 33487-2773

Mailing address

10 Summit St, PO Box 654
Sherburne, NY 13460

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist 225X00000X6170 (NC)
Occupational Therapist Primary 225X00000XOT12660 (FL)
Occupational Therapist 225X00000X0119004417 (VA)

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 1609079946

Stacey Nichole Prunoske, OTRL's National Provider Identifier is 1609079946, issued on Jun 6, 2007. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Boca Raton, FL. The record was last updated on Jul 8, 2007.