Individual
STACEY STEELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1116 E LAURIDSEN BLVD, PORT ANGELES, WA 98362-6640
(360) 452-9206
Mailing address
62 OLSON RD, SEQUIM, WA 98382-9231
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60793833
WA
Other
Enumeration date
01/13/2018
Last updated
01/13/2018
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