Individual
MR. BILLY STIMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
150 SIERRA ST, EL SEGUNDO, CA 90245-4117
(310) 426-9406
Mailing address
2500 PACIFIC AVE, MANHATTAN BEACH, CA 90266-2336
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1179
CA
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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