Individual
ANDREW STILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1210 CANYON HILLS RD, THERMOPOLIS, WY 82443-3137
(814) 312-8387
Mailing address
715 CHURCHILL CT, CRANBERRY TOWNSHIP, PA 16066-4211
(814) 312-8387
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OC015085
PA
225X00000X
Occupational Therapist
Primary
OT-1394
WY
225X00000X
Occupational Therapist
OTH-007666
AZ
Other
Enumeration date
01/17/2019
Last updated
02/27/2019
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