Individual
ANDREA STAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
304 E 6TH AVE, ROME, GA 30161-6000
(706) 378-9044
(706) 378-6046
Mailing address
49 MOUNTAIN CHASE RD SW, ROME, GA 30165-8577
(770) 547-4380
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT001256
GA
Other
Enumeration date
12/29/2006
Last updated
07/08/2007
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