National Provider Identifier
Stacy J Phillips, MS OTR/L
Stacy J Phillips, MS OTR/L is listed in the NPPES registry with a primary specialty of Specialist in Rochester, NY and a listed phone number of (585) 359-3710.
Profile Overview
- NPI
- 1730339862
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- September 25, 2008
- Last Updated
- September 26, 2018
Practice Location
- 100 Groton Pkwy
- Rochester, NY 14623
Phone: (585) 359-3710
Mailing Address
- 100 Groton Pkwy
- Rochester, NY 14623-4540
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1730339862
- Entity Type
- Individual
- Last Name
- Phillips
- First Name
- Stacy
- Middle Name
- J
- Credential
- MS OTR/L
- Mailing Street Address
- 100 Groton Pkwy
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14623-4540
- Mailing Country
- US
- Mailing Phone
- (585) 359-3710
- Practice Street Address
- 100 Groton Pkwy
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14623
- Practice Country
- US
- Practice Phone
- (585) 359-3710
- Enumeration Date
- September 25, 2008
- Last Updated
- September 26, 2018
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)
- Other Identifiers
- 00357240 (NY)