Individual
MRS. STACEY LYNN MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1745 PIKE AVE, RICHLAND, WA 99354
(509) 946-8095
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
(971) 224-2040
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0004139
WA
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
4139
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
506606
PROVIDER NUMBER
WA
Enumeration date
10/11/2011
Last updated
08/20/2019
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