BRIAN LEE STOLL

JASPER, IN
NPI1023148327
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06001403A)
Enumeration Date2007-03-06
Last Update Date2007-07-08
Business Address
-- BRIAN LEE STOLL PTA
1900 SAINT CHARLES ST
JASPER, IN 47546-9145
Phone number: 812-634-1211
Mailing Address
-- BRIAN LEE STOLL PTA
1900 SAINT CHARLES ST
JASPER, IN 47546-9145
Phone number: 812-634-1211
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