Individual
STEPHANEY ANNE BUBLITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9000 W SURA LN, GREENFIELD, WI 53228-3477
(414) 246-6800
Mailing address
2921 SHERMAN RD, JACKSON, WI 53037-9779
(262) 355-6345
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6636-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100174811
—
WI
Enumeration date
07/11/2021
Last updated
07/16/2024
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