Individual
PATRICK BLAKE STOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
596 SHELDON ROAD, ST ALBANS, VT 05478
(802) 524-6534
(802) 524-2429
Mailing address
596 SHELDON ROAD, ST ALBANS, VT 05478
(802) 524-6534
(802) 524-2429
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
041.0000504
VT
Other
Enumeration date
04/07/2011
Last updated
04/07/2011
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