Individual
ANDREA STALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4811 BLACK BEAR RD UNIT 202, LAS VEGAS, NV 89149-5782
(727) 409-4443
Mailing address
4811 BLACK BEAR RD UNIT 202, LAS VEGAS, NV 89149-5782
(727) 409-4443
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2221
NV
Other
Enumeration date
03/08/2019
Last updated
03/08/2019
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