Individual
MS. VANESSA M SIEVERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2043 STEPHANIE CT, BLACK EARTH, WI 53515-9520
(608) 298-8087
Mailing address
2043 STEPHANIE CT, BLACK EARTH, WI 53515-9520
(608) 298-8087
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5209-026
WI
Other
Enumeration date
07/09/2012
Last updated
01/11/2016
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