| Stacey E Moran, OTR/L | |
|
44124 Woodrige Parkway, Lansdowne, VA 20176 | |
| (703) 729-4870 | |
| Not Available |
| Full Name | Stacey E Moran |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 44124 Woodrige Parkway, Lansdowne, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558996645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 0119004584 (Virginia) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1740820828 PECOS PAC ID: 2163339722 Enrollment ID: O20200313002051 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey E Moran, OTR/L 18184 Mill House Sq, Leesburg, VA 20176-6872 Ph: (585) 955-3318 | Stacey E Moran, OTR/L 44124 Woodrige Parkway, Lansdowne, VA 20176 Ph: (703) 729-4870 |
Sarah Renee Spicer, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 19465 Deerfield Ave Ste 201, Lansdowne, VA 20176 Phone: 703-858-7620 | |
Mrs. Cherylynn Page Shiley, M.S., OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 19465 Deerfield Ave, Suite 201, Lansdowne, VA 20176 Phone: 703-858-7620 Fax: 703-858-7657 | |
Barbara Winthrop, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 19465 Deerfield Ave Ste 201, Lansdowne, VA 20176 Phone: 703-858-7620 | |
Erin Null, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 19465 Deerfield Ave, Suite 201, Lansdowne, VA 20176 Phone: 703-858-7620 |