Individual
STEPHANIE DENISE STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
225 N SECOND AVENUE, STRATFORD, WI 54484-0156
(715) 687-2214
(715) 687-4716
Mailing address
PO BOX 156, STRATFORD, WI 54484-0156
(715) 687-2214
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3265-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40821700
—
WI
Enumeration date
11/17/2006
Last updated
11/15/2007
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