JOHN EVAN STOLLBERG

SIOUX CITY, IA
NPI1295112340
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IA  101897)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: KS  17-03060)
Enumeration Date2015-04-28
Last Update Date2020-10-12
Business Address
JOHN EVAN STOLLBERG OTD, OTR/L, CHT
3100 S LAKEPORT ST
SIOUX CITY, IA 51106-4222
Phone number: 712-277-4442
Mailing Address
JOHN EVAN STOLLBERG OTD, OTR/L, CHT
3100 S LAKEPORT ST
SIOUX CITY, IA 51106-4222
Phone number: 712-277-4442