Individual
TIM STOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
800 W 5TH AVE, SPOKANE, WA 99204-2803
(509) 473-2362
Mailing address
2615 S EVERGREEN RD, SPOKANE VALLEY, WA 99037-9353
(509) 891-2208
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1951
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT00001951
OCCUPATIONAL THERAPIST
WA
Enumeration date
06/21/2006
Last updated
07/08/2007
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