Individual
MRS. MIRIAM ANGELA STILWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1307 BETHPAGE RD, KANNAPOLIS, NC 28081-9034
(704) 938-3866
Mailing address
1307 BETHPAGE RD, KANNAPOLIS, NC 28081-9034
(704) 938-3866
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3378
NC
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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