Individual
JESSICA M STOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3837 S 12TH ST, TACOMA, WA 98405-2138
(833) 971-1230
Mailing address
33310 22ND LN S APT D2, FEDERAL WAY, WA 98003-8955
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTAP.LA.70052572
WA
Other
Enumeration date
10/15/2025
Last updated
12/12/2025
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