Provider Demographics
NPI:1689001240
Name:STOKES, NANCY JEAN (MS OTR/L)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:JEAN
Last Name:STOKES
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:JEAN
Other - Last Name:ANDREWS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4916 121ST PL NE
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98271-8521
Mailing Address - Country:US
Mailing Address - Phone:360-657-6664
Mailing Address - Fax:
Practice Address - Street 1:4220 80TH ST NE
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:WA
Practice Address - Zip Code:98270-3423
Practice Address - Country:US
Practice Address - Phone:360-657-6664
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-27
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT00000272225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist