Individual
LISA MARIE STOLZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1849 SHANNON DR, LIBERTY, MO 64068-2892
(606) 219-8259
Mailing address
1849 SHANNON DR, LIBERTY, MO 64068-2892
(606) 219-8259
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2013042454
MO
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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