Individual
MRS. CAROLINE STASIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
19032 MAGNOLIA ST, HUNTINGTON BEACH, CA 92646-2232
(714) 968-3003
Mailing address
18822 VIA PALATINO, IRVINE, CA 92603-3435
(949) 854-1520
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5836
CA
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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