Individual
JONATHAN TYLAR STAMBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
20 HOWARDS CREEK RD, SANDY HOOK, KY 41171-8535
(606) 738-9400
Mailing address
781 HOWLAND HL, SOUTH SHORE, KY 41175-8510
(606) 339-0575
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
284733
KY
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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