Individual
MRS. KATHY D STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
900 LPGA BLVD, HOLLY HILL, FL 32117-3113
(386) 226-9125
Mailing address
2261 TURNBULL BAY RD, NEW SMYRNA BEACH, FL 32168-5972
(386) 663-7370
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT9151
FL
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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