National Provider Identifier
Stacy Wade, OTR/L
Stacy Wade, OTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Rochester, NY and a listed phone number of (585) 271-0761.
Source: public NPPES record, last updated July 13, 2017. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1316469091
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- July 13, 2017
- Last Updated
- July 13, 2017
Practice Location
- 1000 Elmwood Ave Ste 100
- Rochester, NY 14620-3042
Phone: (585) 271-0761
Mailing Address
- 117 W Gibson St
- Canandaigua, NY 14424-1443
Specialties
- Occupational Therapist (225X00000X)
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Full Record
- NPI
- 1316469091
- Entity Type
- Individual
- Last Name
- Wade
- First Name
- Stacy
- Credential
- OTR/L
- Mailing Street Address
- 117 W Gibson St
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424-1443
- Mailing Country
- US
- Practice Street Address
- 1000 Elmwood Ave Ste 100
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-3042
- Practice Country
- US
- Practice Phone
- (585) 271-0761
- Enumeration Date
- July 13, 2017
- Last Updated
- July 13, 2017
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)