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Individual
LAURIE STELLICK
Active
Individual
LAURIE STELLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.R.
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1309-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1309-026
PRIVATE PRACTICE-O.T.R.
WI
Enumeration date
08/14/2008
Last updated
08/18/2008
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