Individual
MRS. STEPHANIE STALDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
111 FAIRGROUND RD, GLENVILLE, WV 26351-1388
(304) 462-5718
(304) 462-8272
Mailing address
1011 WATKINS LN, CLARKSBURG, WV 26301-2593
(304) 626-0727
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 001673
WV
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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