Earl, Stacy Marie

Earl, Stacy Marie is an sole proprietor health care provider with primary practice located at 516 23Rd Ave Se , Puyallup WA 98372-4659. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Earl, Stacy Marie can be contacted via phone (253) 845-6631.

Contact Information

Primary practice address
516 23Rd Ave Se Puyallup WA 98372-4659
Phone: (253) 845-6631
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X OC60313173 Washington

Profile Details

NPI number 1326384959
LBN Legal business name Earl, Stacy Marie
Credentials COTA/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 31st, 2012
Last updated Dec 31st, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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