Individual
MS. KAREN DIANN STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA / L
Contact information
Practice address
1301 E BIDWELL ST, FOLSOM, CA 95630-3452
(916) 983-5915
Mailing address
1314 SHEFFIELD WAY, ROSEVILLE, CA 95661-5542
(916) 276-7084
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1253
CA
Other
Enumeration date
07/15/2008
Last updated
07/15/2008
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