Individual
DALE STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
955 53RD ST E, #1420, BRADENTON, FL 34208-5890
(941) 882-1716
Mailing address
955 53RD STREET EAST, #1420, BRADENTON, FL 34208
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA5964
FL
Other
Enumeration date
05/04/2010
Last updated
05/04/2010
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