National Provider Identifier
Stacey Lynn Omeara, PTA
Stacey Lynn Omeara, PTA is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Batavia, NY and a listed phone number of (303) 408-2615.
Profile Overview
- NPI
- 1245561588
- Provider Type
- Individual
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- January 27, 2010
- Last Updated
- January 27, 2010
Practice Location
- 4065 W Main St
- Batavia, NY 14020-1215
Phone: (303) 408-2615
Mailing Address
- PO Box 15444
- Sarasota, FL 34277-1444
Specialties
- Physical Therapy Assistant (225200000X)
Full Record
- NPI
- 1245561588
- Entity Type
- Individual
- Last Name
- Omeara
- First Name
- Stacey
- Middle Name
- Lynn
- Credential
- PTA
- Mailing Street Address
- PO Box 15444
- Mailing City
- Sarasota
- Mailing State
- FL
- Mailing ZIP Code
- 34277-1444
- Mailing Country
- US
- Mailing Phone
- (303) 408-2615
- Practice Street Address
- 4065 W Main St
- Practice City
- Batavia
- Practice State
- NY
- Practice ZIP Code
- 14020-1215
- Practice Country
- US
- Practice Phone
- (303) 408-2615
- Enumeration Date
- January 27, 2010
- Last Updated
- January 27, 2010
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapy Assistant (225200000X)
- Other Identifiers
- NA (Na)