Individual
CAROLYN THERESA STALLINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
5270 ELVAS AVE, SACRAMENTO, CA 95819-2332
(916) 296-4616
Mailing address
5716 FOLSOM BLVD, #251, SACRAMENTO, CA 95819-4608
(916) 296-4616
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
8749
CA
Other
Enumeration date
12/16/2016
Last updated
12/16/2016
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