Individual
CARLY RAE STINNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 SUNFLOWER LN, IOLA, KS 66749-9038
(620) 228-2041
Mailing address
11 SUNFLOWER LN, IOLA, KS 66749-9038
(620) 228-2041
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1801387
KS
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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