Individual
STERLING JEREL SHORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
31004741A
IN
174400000X
Specialist
OT00004190
WA
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/26/2009
Last updated
12/08/2021
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