IndividualActive
Staci Bleecker, COTA/L
NPI 1023556131 · Occupational Therapy Assistant · Lisbon, ND
Provider details
- NPI number
- 1023556131
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- No
- License
- 1260 (ND)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
905 Main St
Lisbon, ND 58054-4334
Phone: (701) 683-6402
Approximate (ZIP-level) locationGet directions
Mailing address
11 N Main St
Gwinner, ND 58040-4001
Registry dates
- Enumerated
- 2017-02-09
- Last updated
- 2019-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.