Individual
STACY LEE YINGLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
32531 N SCOTTSDALE RD STE 105-162, SCOTTSDALE, AZ 85266-1519
(480) 488-0084
Mailing address
16527 W MARICOPA ST, GOODYEAR, AZ 85338-4543
(623) 203-7501
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4280
AZ
Other
Enumeration date
08/28/2012
Last updated
08/08/2014
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