Provider Demographics
NPI:1538679857
Name:DENNY, STACY MAY (OTR)
Entity Type:Individual
Prefix:
First Name:STACY
Middle Name:MAY
Last Name:DENNY
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:148 ASH ST
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32459-4420
Mailing Address - Country:US
Mailing Address - Phone:828-838-3660
Mailing Address - Fax:
Practice Address - Street 1:720 W HANCOCK ST
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33803-1424
Practice Address - Country:US
Practice Address - Phone:828-838-3660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-02
Last Update Date:2020-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist