Individual
MRS. STEPHANIE G OTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
2507 E 27TH AVE, SPOKANE, WA 99223-4908
(509) 456-6917
(509) 456-5902
Mailing address
3020 S GRAND BLVD, SPOKANE, WA 99203
(509) 456-6917
(509) 456-5902
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
8396
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8349995
—
WA
Enumeration date
02/05/2007
Last updated
04/25/2018
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