Individual
SAMANTHA STOLP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
280 SMITH AVE N, SAINT PAUL, MN 55102-2424
(715) 297-9955
Mailing address
788 HENSLOW AVE N, OAKDALE, MN 55128-5369
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105496
MN
225X00000X
Occupational Therapist
6302-26
WI
Other
Enumeration date
10/26/2021
Last updated
03/02/2023
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