Individual
LUANN STULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
105 ATRIUM DR, MIDDLETOWN, OH 45005-5166
(513) 727-4590
Mailing address
156 MALLARD GLEN DR APT 4, CENTERVILLE, OH 45458-3485
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1000096
OH
225200000X
Physical Therapy Assistant
100096
OH
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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