Individual
MICHAEL STOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9600 VETERANS DR SW, TACOMA, WA 98493-0003
(509) 398-5077
Mailing address
5301 25TH AVE NW, GIG HARBOR, WA 98335-1459
(509) 398-5077
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
12/19/2017
Last updated
12/19/2017
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