Individual
STEPHANIE RUTKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17700 W CAPITOL DR, BROOKFIELD, WI 53045-2006
(262) 781-3083
Mailing address
17700 W CAPITOL DR, BROOKFIELD, WI 53045-2006
(262) 781-3083
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5742
WI
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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