Individual
KELLY ANN STAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT OTR
Contact information
Practice address
9933 BEAM RIDGE DR, INDIANAPOLIS, IN 46256-9332
(317) 796-4845
Mailing address
9933 BEAM RIDGE DR, INDIANAPOLIS, IN 46256-9332
(317) 796-4845
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
257500
IN
Other
Enumeration date
09/24/2009
Last updated
09/24/2009
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