Individual
STEPHANIE ANN WHITLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1506 S ONEIDA ST, APPLETON, WI 54915-1305
(920) 738-2000
Mailing address
1506 S ONEIDA ST, APPLETON, WI 54915-1305
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4824-26
WI
Other
Enumeration date
10/11/2006
Last updated
10/22/2010
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