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NPI Code Detail

MEDICARE: MICHELLE CATHERINE STAHL

MEDICARE:   MICHELLE CATHERINE STAHL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist07177MD

General Provider Information

NPI Number : 1023457470
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE CATHERINE STAHL
Provider Business Mailing Address
First Line : 75 ROGER VALLEY CT
Second Line :
City : PARKVILLE
State : MD
Zip : 21234-1443
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1741 ASHLAND AVE RM 646
Second Line :
City : BALTIMORE
State : MD
Zip : 21205-1531
Country : US
Telephone Number : 443-923-1842
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2013
Last Update Date : 05/11/2023

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Directions to “ MICHELLE CATHERINE STAHL ” Practice Location

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