Individual
JOHN EVAN STOLLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD, OTR/L, CHT
Contact information
Practice address
3100 S LAKEPORT ST, SIOUX CITY, IA 51106-4222
(712) 277-4442
(712) 202-0578
Mailing address
3100 S LAKEPORT ST, SIOUX CITY, IA 51106-4222
(712) 277-4442
(712) 202-0578
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
101897
IA
225X00000X
Occupational Therapist
17-03060
KS
Other
Enumeration date
04/28/2015
Last updated
10/12/2020
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