Individual
MELISSA STAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
440767
NBCOT
—
01
—
61090083
WA OT LICENSE
WA
01
—
OC017105
PA STATE OT LICENSE
PA
Enumeration date
10/16/2020
Last updated
10/16/2020
Update your record
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