National Provider Identifier
Mina Marie Stollberg
Mina Marie Stollberg is listed in the NPPES registry with a primary specialty of Pediatric Occupational Therapist in Kenmore, NY and a listed phone number of (716) 874-6175.
Profile Overview
- NPI
- 1114780020
- Provider Type
- Individual
- Primary Specialty
- Pediatric Occupational Therapist
- Enumeration Date
- February 02, 2024
- Last Updated
- February 02, 2024
Practice Location
- 3767 Delaware Ave
- Kenmore, NY 14217-1040
Phone: (716) 874-6175
Specialties
- Pediatric Occupational Therapist (225XP0200X)
Full Record
- NPI
- 1114780020
- Entity Type
- Individual
- Last Name
- Stollberg
- First Name
- Mina
- Middle Name
- Marie
- Mailing Street Address
- 3767 Delaware Ave
- Mailing City
- Kenmore
- Mailing State
- NY
- Mailing ZIP Code
- 14217-1040
- Mailing Country
- US
- Practice Street Address
- 3767 Delaware Ave
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-1040
- Practice Country
- US
- Practice Phone
- (716) 874-6175
- Enumeration Date
- February 02, 2024
- Last Updated
- February 02, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 02, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Occupational Therapist (225XP0200X)