| NPI | 1679725725 |
|---|---|
| Former Name | KIMBERLY ANN STAHL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT16432) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: PA OP002765L) |
| 225X00000X Occupational Therapist (Licence: PA OC011676) | |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2016-07-14 |