Mrs Stacey Marie Desouza, in Saint Paul, MN - Occupational Therapist

Mrs Stacey Marie Desouza, is a Occupational Therapist based in Saint Paul, Minnesota. Mrs Stacey Marie Desouza is licensed to practice in Minnesota (license number 102928) and her current practice location is 360 Sherman St, 470, Saint Paul, Minnesota. She can be reached at her office (for appointments etc.) via phone at (651) 209-6520.

NPI number for Mrs Stacey Marie Desouza is 1295172914 and her current mailing address is 360 Sherman St Ste 470, Saint Paul, Minnesota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295172914.

Contact Information

	Mrs Stacey Marie Desouza,
	360 Sherman St, 470, Saint Paul, MN 55102-2564
	(651) 209-6520
	(651) 209-6521

Healthcare Provider's Profile

Full Name	Mrs Stacey Marie Desouza
Gender	Female
Speciality	Occupational Therapist
Location	360 Sherman St, Saint Paul, Minnesota
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1295172914
Provider Enumeration Date: 06/04/2013
Last Update Date: 06/04/2013

Medical Identifiers

Medical identifiers for Mrs Stacey Marie Desouza such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295172914	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	102928 (Minnesota)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Stacey Marie Desouza is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Stacey Marie Desouza, 360 Sherman St Ste 470, Saint Paul, MN 55102-2988 Ph: (651) 209-6520	Mrs Stacey Marie Desouza, 360 Sherman St, 470, Saint Paul, MN 55102-2564 Ph: (651) 209-6520

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Mrs Stacey Marie Desouza, - Occupational Therapist in Saint Paul, MN