Individual
ANDREA STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1796 WINK AVE, PANORA, IA 50216-8509
(308) 380-9982
Mailing address
1796 WINK AVE, PANORA, IA 50216-8509
(308) 380-9982
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1314
NE
225X00000X
Occupational Therapist
17-02372
KS
Other
Enumeration date
02/23/2007
Last updated
07/27/2015
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