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Individual

STEPHANIE D. BRIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR L

Contact information

Practice address
4411 POINT FOSDICK DR NW STE 101, GIG HARBOR, WA 98335-1703
(253) 851-7472
(253) 851-7473
Mailing address
1624 S I ST STE 301, TACOMA, WA 98405-5093
(253) 428-8292

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00003485
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1624BR
REGENCE
WA
01
186980
LABOR & INDUSTRIES
WA
05
8340275
WA
Enumeration date
01/18/2007
Last updated
04/22/2008
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