Individual
AUTUMN STITES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
825 E 5TH ST, PORT ANGELES, WA 98362-3818
(360) 457-4916
(360) 457-4916
Mailing address
PO BOX 1021, SEQUIM, WA 98382-1021
(360) 681-3847
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00004116
WA
Other
Enumeration date
06/21/2007
Last updated
07/08/2007
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