STACY MARIE EARL

PUYALLUP, WA
NPI1326384959
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WA  OC60313173)
Enumeration Date2012-12-31
Last Update Date2012-12-31
Business Address
-- STACY MARIE EARL COTA/L
516 23RD AVE SE
PUYALLUP, WA 98372-4659
Phone number: 253-845-6631
Mailing Address
-- STACY MARIE EARL COTA/L
7902 192ND AVE E
BONNEY LAKE, WA 98391-8554
Phone number: 253-720-2618