Individual
STEPHANIE A. TOLLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
1624 S I ST, SUITE 301, TACOMA, WA 98405-5016
(253) 428-8292
Mailing address
1624 S I ST, SUITE 301, TACOMA, WA 98405-5016
(253) 428-8292
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00002718
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
169249
LABOR AND INDUSTRIES
WA
01
—
5871TO
REGENCE BCBS TACOMA
WA
01
—
7472TO
REGENCE BCBS GIG HARBOR
WA
05
—
8369340
—
WA
Enumeration date
11/21/2006
Last updated
04/22/2008
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