National Provider Identifier
Staci Pegelow
Staci Pegelow is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Randolph, NY and a listed phone number of (716) 983-8985.
Profile Overview
- NPI
- 1821425125
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- October 01, 2013
- Last Updated
- October 01, 2013
Practice Location
- 73 Coldspring St
- Randolph, NY 14772-9664
Phone: (716) 983-8985
Specialties
- Occupational Therapy Assistant (224Z00000X)
Full Record
- NPI
- 1821425125
- Entity Type
- Individual
- Last Name
- Pegelow
- First Name
- Staci
- Mailing Street Address
- 73 Coldspring St
- Mailing City
- Randolph
- Mailing State
- NY
- Mailing ZIP Code
- 14772-9664
- Mailing Country
- US
- Practice Street Address
- 73 Coldspring St
- Practice City
- Randolph
- Practice State
- NY
- Practice ZIP Code
- 14772-9664
- Practice Country
- US
- Practice Phone
- (716) 983-8985
- Enumeration Date
- October 01, 2013
- Last Updated
- October 01, 2013
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapy Assistant (224Z00000X)