Individual
JOYCE G STAHLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT, CHT
Contact information
Practice address
1303 NE CUSHING DR, SUITE 150, BEND, OR 97701-3891
(541) 382-7875
(541) 382-2181
Mailing address
805 SW INDUSTRIAL WAY, SUITE 3, BEND, OR 97702-1093
(541) 585-2529
(541) 585-2536
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
975026
OR
225XH1200X
Hand Occupational Therapist
Primary
9410000312
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278178
—
OR
01
—
P01270257
RR MEDICARE
OR
Enumeration date
03/29/2007
Last updated
03/04/2016
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