Individual
STACEY CLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
336 S 10TH ST, MONTROSE, CO 81401-4934
(970) 249-1412
(970) 249-0245
Mailing address
716 N BOULEVARD ST, GUNNISON, CO 81230-2823
(732) 682-1060
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2489
CO
225XP0200X
Pediatric Occupational Therapist
Primary
2489
CO
Other
Enumeration date
01/04/2010
Last updated
12/12/2016
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