Individual
TASHA STAHLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4740 KINGSWAY DR, INDIANAPOLIS, IN 46205-1521
(317) 466-1000
(317) 466-2000
Mailing address
9653 ABERDEEN CT, FISHERS, IN 46038-8931
(317) 466-1000
(317) 466-2000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
99035609A
IN
Other
Enumeration date
01/26/2009
Last updated
01/26/2009
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