Individual
MR. THOMAS A STALLWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
28 CHICKWOOD TRL, WEAVERVILLE, NC 28787-8734
(205) 401-6883
Mailing address
28 CHICKWOOD TRL, WEAVERVILLE, NC 28787-8734
(205) 401-6883
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2616
AL
225X00000X
Occupational Therapist
Primary
7430
NC
Other
Enumeration date
04/24/2007
Last updated
07/01/2022
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