Individual
KENT STAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1019 HOLDEN ST, GLEN ROSE, TX 76043-4937
(254) 897-1429
Mailing address
1019 HOLDEN ST, GLEN ROSE, TX 76043-4937
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
109844
TX
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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