Individual
KATHLEEN MARIE STACHOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-4180
Mailing address
590 QUEENSGATE RD, SPRINGBORO, OH 45066-9726
(937) 748-3420
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1766
OH
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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