Individual
MS. TRACY L WEST-STALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, HTC, PAM
Contact information
Practice address
162 S MAIN ST, BISHOP, CA 93514-3415
(760) 872-2942
Mailing address
85 SIERRA PARK RD, MAMMOTH LAKES, CA 93546-2073
(760) 934-3311
(775) 883-7742
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2814
CA
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
2814
CA
Other
Enumeration date
08/16/2006
Last updated
02/11/2021
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