Provider Demographics
NPI:1598212011
Name:STOECKLIN, ANNA (MA)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:STOECKLIN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 KALMIA AVE APT B305
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-1569
Mailing Address - Country:US
Mailing Address - Phone:708-227-7862
Mailing Address - Fax:
Practice Address - Street 1:2800 KALMIA AVE APT B305
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-1569
Practice Address - Country:US
Practice Address - Phone:708-227-7862
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-01
Last Update Date:2020-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics