Individual
NICOLE STAHLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4301 HIGHWAY 7, ST LOUIS PARK, MN 55416-5817
(952) 208-7172
Mailing address
4301 HIGHWAY 7, ST LOUIS PARK, MN 55416-5817
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
202506
MN
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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