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Stacey A Wilson, OT
Occupational Therapist in Bloomington, Indiana
NPI 1932890803

Stacey A Wilson is a Occupational Therapist based in Indianapolis, IN. Stacey A Wilson practices in Bloomington, IN and has the professional credentials of OT. The NPI Number for Stacey A Wilson is 1932890803 and holds a License No. 31004123A (Indiana).

The current practice location address for Stacey A Wilson is 2605 E Creeks Edge Dr, Bloomington, IN and can be reached out via phone at 812-333-2663.

Location: 2605 E Creeks Edge Dr, Bloomington, IN, 46219-4959
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932890803
Provider Name
Stacey A Wilson
Credential
OT
Provider Entity Type
Individual
Gender
Female
Address
2605 E Creeks Edge Dr, Bloomington, IN, 46219-4959
Phone Number
812-333-2663
Fax Number
Provider Enumeration Date
05/19/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
090540881 01 IN MEDICARE PTAN
300081337 05 IN
institution
Provider Business Practice Location Address Details
Address
2605 E Creeks Edge Dr
City
Bloomington
State
Indiana
Zip
47401-8368
Phone Number
812-333-2663
Fax Number
person
Provider Business Mailing Address Details
Address
2605 E Creeks Edge Dr
City
Bloomington
State
Indiana
Zip
47401-8368
Phone Number
812-333-2663
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Occupational Therapist
Speciality
-
Taxonomy
225X00000X
License No.
31004123A (Indiana)
Definition
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 experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Occupational Therapist
Speciality
Hand
Taxonomy
225XH1200X
License No.
31004123A (Indiana)
Definition
Definition to come...
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