Individual
STACY ATKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8180 MANITOBA ST, APT 145, PLAYA DEL REY, CA 90293-8644
(310) 339-6125
Mailing address
8180 MANITOBA ST, APT 145, PLAYA DEL REY, CA 90293-8644
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
9498
CA
Other
Enumeration date
04/03/2016
Last updated
04/03/2016
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