Individual
AUDRA MAE STOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 N WABASH RD, MARION, IN 46952-1300
(765) 651-3221
Mailing address
1800 N WABASH RD, MARION, IN 46952-1300
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05009039A
IN
Other
Enumeration date
01/16/2013
Last updated
01/16/2013
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