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Individual

SHANIA STEHLIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
23 PARKCLIFF DR, HOLIDAY ISLAND, AR 72631-9230
(479) 363-6422
Mailing address
23 PARKCLIFF DR, HOLIDAY ISLAND, AR 72631-9230
(479) 363-6422

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2020030764
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2020030764
STATE LICENSE
MO
Enumeration date
01/15/2021
Last updated
01/15/2021
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