Individual
JENNIFER STOTLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
540 E JEFFERSON ST, SUITE 302, IOWA CITY, IA 52245-2477
(319) 339-3611
(319) 339-3878
Mailing address
2401 TOWNCREST DR, IOWA CITY, IA 52240-6631
(319) 354-2429
(319) 354-6100
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
01645
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665463
—
IA
Enumeration date
05/17/2007
Last updated
06/24/2008
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