Individual
CASANDRA MARIE STOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
95 MATHEWS DR, SUITE D5, HILTON HEAD, SC 29926-3734
(843) 681-5640
(843) 681-5631
Mailing address
95 MATHEWS DR, SUITE D5, HILTON HEAD, SC 29926-3734
(843) 681-5640
(843) 681-5631
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
096.003113
IL
2255A2300X
Athletic Trainer
Primary
1385
SC
Other
Enumeration date
03/22/2012
Last updated
02/06/2014
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