# MS. JUANITA C. STAGEBERG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1639405723
- **Gender:** F
- **Credential:** P.T.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 1526 | ND | — |
| 225100000X | Physical Therapist | 4403-24 | WI | Yes |
| 225100000X | Physical Therapist | 7392 | MN | — |

## Other

- **Enumeration date:** 10/23/2009
- **Last updated:** 02/08/2011
