Individual ProviderStacia EnosOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address300 Pasteur Dr, Palo Alto, CA 94304-2203(650) 723-4000PECOS EnrollmentBased on the most recent information from CMS, provider Stacia Enos does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:05 AM.Profile DetailsProvider ID1538579610Provider TypeIndividualFull NameEnos, StaciaCredentialOTR/LGenderFemaleSole ProprietorYesEnumeration Date4/29/2014Last Updated4/13/2018Contact InformationPractice LocationPractice Address300 Pasteur Dr, Palo Alto, CA 94304-2203Phone(650) 723-4000FaxUnlisted FaxMailing LocationMailing Address300 Pasteur Dr, Palo Alto, CA 94304-2203PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense11749California