Individual
MR. MICHAEL PAUL STAMPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
24 SHADY COVE EXT, BELMONT, MS 38827-9781
(662) 279-5910
Mailing address
24 SHADY COVE EXT, BELMONT, MS 38827-9781
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
TA2430
MS
225X00000X
Occupational Therapist
Primary
5164
AL
Other
Enumeration date
02/24/2011
Last updated
09/01/2022
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