Individual
MISTY ANN STUTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1280 MARSHALL ST, CRESCENT CITY, CA 95531-2217
(707) 464-6151
Mailing address
141 BURCHUM LN, CRESCENT CITY, CA 95531-8506
(562) 326-6905
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1391
CA
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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