Individual
HEATHER STOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
425 W NEOSHO AVE, THAYER, KS 66776-4003
(620) 432-3395
Mailing address
425 W NEOSHO AVE, THAYER, KS 66776-4003
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-01221
KS
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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