Individual
JAMES A. STAEBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L, CHT
Contact information
Practice address
578 N. 5TH AVE, SEQUIM, WA 98382-3079
(360) 683-8331
(360) 683-8331
Mailing address
578 N. 5TH AVE, SEQUIM, WA 98382-3079
(360) 683-8331
(360) 683-8441
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00003652
WA
225XH1200X
Hand Occupational Therapist
OT00003652
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8329740
—
WA
01
—
O00034530
RAILROAD MEDICARE
—
Enumeration date
05/20/2006
Last updated
02/17/2012
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