Individual
MADISON STOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
408 JASON DR APT A13, RICHMOND, KY 40475-2782
(270) 853-4007
Mailing address
408 JASON DR APT A13, RICHMOND, KY 40475-2782
(270) 853-4007
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
262622
KY
Other
Enumeration date
02/23/2020
Last updated
02/23/2020
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