Individual
MRS. REBECCA JEAN STANISLAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1313 W MAGEE RD, TUCSON, AZ 85704-3326
(520) 797-2600
(520) 797-3100
Mailing address
PO BOX 89176, TUCSON, AZ 85752-9176
(520) 219-9008
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2135
AZ
Other
Enumeration date
05/19/2007
Last updated
07/08/2007
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