Provider Demographics
NPI:1831329440
Name:STAHLMAN, FREDERICK BOYD II (PT)
Entity type:Individual
Prefix:MR
First Name:FREDERICK
Middle Name:BOYD
Last Name:STAHLMAN
Suffix:II
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8089 TAUREN CT
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119-7718
Mailing Address - Country:US
Mailing Address - Phone:239-398-3154
Mailing Address - Fax:866-264-0604
Practice Address - Street 1:5633 STRAND BLVD
Practice Address - Street 2:SUITE 310
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-7300
Practice Address - Country:US
Practice Address - Phone:239-398-3154
Practice Address - Fax:866-264-0604
Is Sole Proprietor?:No
Enumeration Date:2009-07-16
Last Update Date:2009-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT21158225100000X
RIPT01069225100000X
PAPT000322E225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist