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Stacy J Phillips, MSOTR/L
Specialist in Rochester, New York
NPI 1730339862

Stacy J Phillips is a Specialist based in Rochester, NY. Stacy J Phillips practices in Rochester, NY and has the professional credentials of MSOTR/L. The NPI Number for Stacy J Phillips is 1730339862 and holds a License No. 015323-1 (New York).

The current practice location address for Stacy J Phillips is 100 Groton Pkwy, Rochester, NY and can be reached out via phone at 585-359-3710.

Location: 100 Groton Pkwy, Rochester, NY, 14623-4540
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730339862
Provider Name
Stacy J Phillips
Credential
MSOTR/L
Provider Entity Type
Individual
Gender
Female
Address
100 Groton Pkwy, Rochester, NY, 14623-4540
Phone Number
585-359-3710
Fax Number
Provider Enumeration Date
09/25/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00357240 05 NY
institution
Provider Business Practice Location Address Details
Address
100 Groton Pkwy
City
Rochester
State
New York
Zip
14623
Phone Number
585-359-3710
Fax Number
person
Provider Business Mailing Address Details
Address
100 Groton Pkwy
City
Rochester
State
New York
Zip
14623
Phone Number
585-359-3710
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
015323-1 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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