Individual
STEPHANIE QUACKENBUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
707 N HIGH DESERT DR, DEER PARK, WA 99006-9058
(509) 850-6150
Mailing address
707 N HIGH DESERT DR, DEER PARK, WA 99006-9058
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC61301765
WA
Other
Enumeration date
03/07/2026
Last updated
03/07/2026
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