Individual
BENJAMIN STOVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1061 N COLEMAN ST STE 80, PROSPER, TX 75078-2328
(469) 481-6304
(469) 466-6417
Mailing address
1061 N COLEMAN ST STE 80, PROSPER, TX 75078-2328
(469) 481-6304
(469) 466-6417
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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