Individual
NICOLE STADELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1951 21ST ST, SUITE D, FLORENCE, OR 97439-9771
(541) 368-4343
Mailing address
2049 N KEDZIE AVE, CHICAGO, IL 60647-3703
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.017674
IL
225100000X
Physical Therapist
6740
OR
Other
Enumeration date
03/07/2012
Last updated
03/07/2012
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