Individual
STEPHANIE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
216 N G ST, ABERDEEN, WA 98520-5228
(360) 538-2022
Mailing address
1411 8TH AVE SE, OLYMPIA, WA 98501-1750
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60710046
WA
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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