Individual
KAREN STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
340 TESCONI CIR STE C, SANTA ROSA, CA 95401-4676
(707) 546-9160
(707) 546-1338
Mailing address
340 TESCONI CIR STE C, SANTA ROSA, CA 95401-4676
(707) 546-9160
(707) 546-1338
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT10796
CA
225XP0200X
Pediatric Occupational Therapist
Primary
OT10796
CA
Other
Enumeration date
01/17/2013
Last updated
01/17/2013
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