Individual
STEPHANIE SKALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
17300 N 88TH AVE, PEORIA, AZ 85382-3501
(623) 972-0212
Mailing address
17300 N 88TH AVE, PEORIA, AZ 85382-3501
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-008063
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTH-008063
STATE LICENSE
AZ
Enumeration date
03/24/2020
Last updated
03/24/2020
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