Individual
AMBER DARLENE DAVIS STALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
295 VILLAGE LN, GREENWOOD, IN 46143-2440
(317) 881-2591
Mailing address
792 WOODWAY LN, BARGERSVILLE, IN 46106-8469
(317) 696-7001
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002138A
IN
Other
Enumeration date
09/06/2021
Last updated
09/06/2021
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