Individual
HANNAH DANYELL STAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
801 BRIM ST, DESLOGE, MO 63601-3441
(573) 431-0223
Mailing address
1799 HIGHWAY V, FREDERICKTOWN, MO 63645-7237
(573) 783-0158
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2016025212
MO
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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