Individual
STEVEN STATHAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25524 W WILLIAMS ST, BUCKEYE, AZ 85326-2983
(815) 277-6020
Mailing address
25524 W WILLIAMS ST, BUCKEYE, AZ 85326-2983
(815) 277-6020
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6339
AZ
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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