Individual
STEPHANIE NICOLE TRUCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4510 INTELCO LOOP SE STE B, LACEY, WA 98503-6005
(253) 720-2441
Mailing address
4510 INTELCO LOOP SE STE B, LACEY, WA 98503-6005
(253) 720-2441
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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