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Individual

MR. STANLEY HOUSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTA

Contact information

Practice address
1485 INTERNATIONAL PKWY, #2051, HEATHROW, FL 32746-5303
(800) 798-6035
Mailing address
4913 PLOMONDON ST, APT.# 22, VANCOUVER, WA 98661-6163

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC00001252
WA

Other

Enumeration date
10/02/2007
Last updated
10/02/2007
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