Individual
MS. CARLA SUE STOOPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1110 S 6TH ST, SUNNYSIDE, WA 98944-2197
(509) 836-8737
Mailing address
991 CARPENTER RD, GRANGER, WA 98932-9715
(509) 895-9383
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC00000506
WA
Other
Enumeration date
11/30/2012
Last updated
11/30/2012
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