Virginia Chavez Stallman, COTA

NPI #1407053341 in Mount Vernon, Indiana

Provider Information

NPI Number
1407053341
Entity Type
Individual
Name
Virginia Chavez Stallman, COTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
Jul 2, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1415 COUNTRY CLUB RD
State
Indiana
ZIP Code
47620-9301
Phone
(812) 838-6554

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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