Individual
LEAH MARIE STADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
4010 6TH AVE, KEARNEY, NE 68845-3393
(308) 237-7877
Mailing address
4010 6TH AVE, KEARNEY, NE 68845-3393
(308) 237-7877
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1210
NE
Other
Enumeration date
10/22/2010
Last updated
10/22/2010
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