Individual
STUART EAGLEBURGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1036 E VICTORIA AVE, BURLINGTON, WA 98233-1623
(360) 755-0711
Mailing address
8739 LUSK RD, CONCRETE, WA 98237-9395
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC00001200
WA
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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