Individual
ANDREW STOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1222 HERMOSA WAY, COLORADO SPRINGS, CO 80905-7729
(719) 329-1963
Mailing address
PO BOX 832, COLORADO SPRINGS, CO 80901-0832
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2462
CO
Other
Enumeration date
12/01/2011
Last updated
12/01/2011
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