Individual
MS. AUDRA MARIE STOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
30808 SE 384TH ST, ENUMCLAW, WA 98022-9697
(253) 740-6800
Mailing address
30808 SE 384TH ST, ENUMCLAW, WA 98022-9697
(253) 740-6800
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
—
WA
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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