Individual
STACEY REIKO LEONG MINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DOT
Contact information
Practice address
9802 48TH DR NE, MARYSVILLE, WA 98270-8100
(808) 232-8263
Mailing address
1809 NE 172ND ST, SHORELINE, WA 98155-6034
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60441895
WA
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
01/17/2014
Last updated
01/08/2025
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