Individual
PAIGE STOCKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6700 E 45TH ST N, BEL AIRE, KS 67226-8817
(785) 577-4000
Mailing address
1731 COTTONWOOD RD, BENNINGTON, KS 67422-9019
(785) 577-4000
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00713
KS
224Z00000X
Occupational Therapy Assistant
2012018314
MO
Other
Enumeration date
02/12/2014
Last updated
02/12/2014
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