Wien, Stacy Beth
Wien, Stacy Beth is an individual health care provider with primary practice located at 18504 Bothell Way Ne , Bothell WA 98011-1927. 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. Wien, Stacy Beth can be contacted via phone (425) 481-1933.Contact Information
Primary practice address
18504 Bothell Way Ne
Bothell WA 98011-1927
Phone: (425) 481-1933
Fax: (425) 527-6948
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant | 224Z00000X | OC60865959 | Washington |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant | 224Z00000X | 407038 | Arizona |
Profile Details
| NPI number | 1972152478 |
|---|---|
| LBN Legal business name | Wien, Stacy Beth |
| Credentials | Certified Occupational Therapy Assistant (COTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2019 |
| Last updated | Nov 27th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972152478 | NPPES |
| Washington | MEDICAID | GAB35998 |
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