Individual
PETER KENNETH STOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10810 DARNESTOWN RD STE 102, NORTH POTOMAC, MD 20878-2604
(240) 200-5305
Mailing address
710 RESERVE CHAMPION DR, ROCKVILLE, MD 20850-5716
(646) 373-7129
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
09293
MD
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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