Individual
MS. REGINA GALE STOVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
12621 TALL OAKS DR, CEDAR LAKE, IN 46303-8788
(219) 374-6457
(219) 374-5007
Mailing address
12621 TALL OAKS DR, CEDAR LAKE, IN 46303-8788
(219) 374-6457
(219) 374-5007
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31000931A
IN
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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