Individual
STEPHANIE MICHELLE WASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2501 E CHAPMAN AVE, FULLERTON, CA 92831-3132
(714) 888-5141
Mailing address
11952 9TH ST, GARDEN GROVE, CA 92840-2308
(562) 519-3999
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA5098
CA
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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