Individual
SHANNON LEE STICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5128 ALDRICH RD, BELLINGHAM, WA 98226-9636
(360) 305-8953
Mailing address
5128 ALDRICH RD, BELLINGHAM, WA 98226-9636
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC00001160
WA
Other
Enumeration date
10/25/2017
Last updated
10/25/2017
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