Individual
PHILIP JOHN STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
555 16TH AVE, SEATTLE, WA 98122-5618
(206) 324-8200
Mailing address
11 FRIENDSHIP LN, COLORADO SPRINGS, CO 80904-1810
(719) 649-5685
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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