Individual
JULIE SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
17280 W NORTH AVE, SUITE 104, BROOKFIELD, WI 53045-4366
(262) 780-0707
(262) 780-0717
Mailing address
17280 W NORTH AVE, SUITE 104, BROOKFIELD, WI 53045-4366
(262) 780-0707
(262) 780-0717
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
1901027
WI
225X00000X
Occupational Therapist
Primary
4899-26
WI
Other
Enumeration date
05/07/2008
Last updated
05/05/2011
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