Individual
AMANDA STOLLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
480 OSBORNE RD NE STE 280, FRIDLEY, MN 55432-2866
(763) 784-3155
(763) 784-2352
Mailing address
480 OSBORNE RD NE STE 280, FRIDLEY, MN 55432-2866
(763) 784-3155
(763) 784-2352
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
107750
MN
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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