Individual
ASHLEY STALNAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
5725 CAROLINA BEACH RD, WILMINGTON, NC 28412-2611
(910) 792-1455
(910) 792-1492
Mailing address
5725 CAROLINA BEACH RD, WILMINGTON, NC 28412-2611
(910) 792-1455
(910) 792-1492
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12065
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12065
NORTH CAROLINA BOARD OF OCCUPATIONAL THERAPY
NC
Enumeration date
02/25/2019
Last updated
02/25/2019
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