Individual
MS. STACIE LYN ABBITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2900 CHARLEVOIX DR SE STE 200, GRAND RAPIDS, MI 49546-7086
(800) 684-8049
(800) 325-1326
Mailing address
1111 E TOWNLEY AVE, PHOENIX, AZ 85020-3038
(602) 743-8489
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC 60341837
WA
Other
Enumeration date
09/16/2013
Last updated
09/16/2013
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