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NICOLE R STAHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
550 N ANDOVER RD, ANDOVER, KS 67002-9712
(316) 202-0195
(316) 202-0196
Mailing address
200 W DOUGLAS AVE STE 1040, WICHITA, KS 67202-3017
13162630003

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1402357
KS

Other

Enumeration date
09/19/2017
Last updated
09/19/2017
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