Individual
ANGELA MICHELLE STALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
165 COLEMAN AVE, 11-B, ASHEVILLE, NC 28801-1386
(717) 654-8155
Mailing address
165 COLEMAN AVENUE, 11-B, ASHEVILLE, NC 28801
(717) 654-8155
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
7189
NC
224Z00000X
Occupational Therapy Assistant
Primary
OP006485
PA
Other
Enumeration date
04/08/2008
Last updated
04/08/2013
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