Individual
LORI STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3600 LIND AVE SW STE 170, RENTON, WA 98057-4934
(425) 690-3555
(425) 690-9555
Mailing address
400 S 43RD ST, RENTON, WA 98055-5714
(425) 251-5165
(425) 656-4028
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00000917
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2012755
—
WA
Enumeration date
06/01/2007
Last updated
05/25/2021
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