Individual
ANDREW L. STILLBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
2000 NEUSE BLVD, NEW BERN, NC 28560-3449
(252) 633-8640
Mailing address
2000 NEUSE BLVD, NEW BERN, NC 28560-3449
(252) 633-8640
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6632
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018TE
BLUE CROSS GROUP #
NC
Enumeration date
04/16/2008
Last updated
04/16/2008
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