Individual
KIMBERLY RENEE STAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1675 W SEVENTH ST, AUBURN, IN 46706
(260) 627-4920
Mailing address
3766 COUNTY ROAD 40A, AUBURN, IN 46706
(260) 466-6959
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001794A
IN
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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