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Individual

MATTHEW STUTZENBERGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OT

Contact information

Practice address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(206) 762-1010
Mailing address
1213 N 49TH ST, SEATTLE, WA 98103-6632
(206) 604-7285

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60827749
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OT60827749
WA STATE DEPARTMENT OF HEALTH
WA
Enumeration date
04/13/2018
Last updated
04/13/2018
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