Individual
MARISSA STALDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3560 KIMBALL AVE, WATERLOO, IA 50702-5733
(319) 233-6995
(319) 233-7083
Mailing address
850 43RD AVE STE 100, MOLINE, IL 61265-8401
(309) 743-2070
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
098963
IA
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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