Individual
STACIE LIANNE KLUSMIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 382-4321
Mailing address
PO BOX 6095, BEND, OR 97708-6095
(541) 382-4321
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1039309
OR
Other
Enumeration date
04/02/2009
Last updated
04/29/2013
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