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1104965508
STEPHANIE G OTA
SPOKANE, WA
NPI
1104965508
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: WA 8396)
Enumeration Date
2007-02-05
Last Update Date
2018-04-25
Business Address
Mrs. STEPHANIE G OTA MSPT
2507 E 27TH AVE
SPOKANE, WA 99223-4908
Phone number: 509-456-6917
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Mailing Address
Mrs. STEPHANIE G OTA MSPT
3020 S GRAND BLVD
SPOKANE, WA 99203
Phone number: 509-456-6917
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