Individual
MELINDA ANN STALLBAUMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1823 COLLEGE AVE, MANHATTAN, KS 66502-3381
(785) 776-3322
Mailing address
1823 COLLEGE AVE, MANHATTAN, KS 66502-3381
(785) 776-3322
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-01245
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18-01245
NONE
KS
Enumeration date
11/18/2015
Last updated
11/18/2015
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