Individual
STACY PADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
323 W MONROE STREET, WYOCENA, WI 53969
(608) 429-2181
Mailing address
6886 COYLE RD, LODI, WI 53555-9503
(608) 577-7034
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5603-26
WI
Other
Enumeration date
03/01/2016
Last updated
08/26/2016
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