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Individual

BRITNE STIMAC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
789
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0348636
MT
01
660610
BCBS PROVIDER NUMBER
MT
Enumeration date
07/07/2005
Last updated
07/08/2007
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