Individual
STACEY STIRLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1231 E ORCHID CT, GILBERT, AZ 85296-4366
(480) 560-5106
Mailing address
1231 E ORCHID CT, GILBERT, AZ 85296-4366
(480) 560-5106
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5781
AZ
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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