Individual
STEFANIE PIEKUTOWSKI APMADOC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1675 SW MARLOW AVE, SUITE 200, PORTLAND, OR 97225-5104
(503) 802-5279
Mailing address
8170 SW GLENCREEK CT, PORTLAND, OR 97223-1319
(805) 258-2004
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
233731
OR
Other
Enumeration date
05/07/2008
Last updated
07/23/2012
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