Individual
STEPHANIE KIRACOFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
13333 GREENWOOD AVE N, SEATTLE, WA 98133-7312
(206) 362-0303
Mailing address
8532 PHINNEY AVE N APT 302, SEATTLE, WA 98103-3736
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60728719
WA
Other
Enumeration date
06/27/2017
Last updated
06/27/2017
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