Individual
MRS. STACIE SPIKER PIERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3344 W HALEY DR, EAGLE, ID 83616-3366
(480) 466-9416
Mailing address
3344 W HALEY DR, EAGLE, ID 83616-3366
(480) 466-9416
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-1701
ID
Other
Enumeration date
03/24/2017
Last updated
03/24/2017
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