MISS Susan Gaye Stayner, COTA
NPI #1235326364 in Simi Valley, California
Provider Information
- NPI Number
- 1235326364
- Entity Type
- Individual
- Name
- MISS Susan Gaye Stayner, COTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA
- Enumeration Date
- Oct 3, 2007
- Last Updated
- Oct 3, 2007
Practice Location
- Address
- 1528 PATRICIA AVE
- Address 2
- APT. # 162
- City
- Simi Valley
- State
- California
- ZIP Code
- 93065-3491
- Phone
- (951) 255-0777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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