| Stacy M Spray, OT | |
|
3535 S 31st St Ste 105, Grand Forks, ND 58201-3592 | |
| (701) 317-2897 | |
| (701) 213-4345 |
| Full Name | Stacy M Spray |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 3535 S 31st St Ste 105, Grand Forks, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538877816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 106922 (Minnesota) | Secondary |
| 225X00000X | Occupational Therapist | 1983 (North Dakota) | Primary |
| Provider Name | Suedel Therapeutics Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1902446271 PECOS PAC ID: 7810326337 Enrollment ID: O20200406000022 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy M Spray, OT 1311 S Washington St, Grand Forks, ND 58201-5406 Ph: (701) 317-2897 | Stacy M Spray, OT 3535 S 31st St Ste 105, Grand Forks, ND 58201-3592 Ph: (701) 317-2897 |
Mrs. Heather Ann Thibert, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1300 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-781-2300 Fax: 701-780-1942 | |
Alycia Ann Bosco, MOTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2951 S 34th St, Grand Forks, ND 58201 Phone: 701-772-3851 | |
Heather Ann Audet, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000 | |
Stephanie Anne Suedel, MOTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 3535 S 31st St Ste 105, Grand Forks, ND 58201 Phone: 701-317-2897 Fax: 701-213-4345 | |
Stacie Lee Voth, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 South Columbia Road, Grand Forks, ND 58206 Phone: 701-780-5000 | |
Mrs. Rhonda Mae Roed, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 South Columbia Road, Grand Forks, ND 58206 Phone: 701-780-5340 Fax: 701-780-1942 | |
Mrs. Alison Jeanne Cherney, MOTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1000 South Columbia Road, Grand Forks, ND 58206 Phone: 701-780-5000 |