Individual
PAMELA B STOCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
14418 W 68TH ST, SHAWNEE, KS 66216-2149
(913) 268-0287
Mailing address
14418 W 68TH ST, SHAWNEE, KS 66216-2149
(913) 268-0287
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
01235
MO
225100000X
Physical Therapist
Primary
11-01151
KS
Other
Enumeration date
06/09/2011
Last updated
06/09/2011
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