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Individual

MS. JESSI RAI STOUFFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
802 E COUNTY HIGHWAY B, SHELL LAKE, WI 54871-4425
(715) 468-7292
(715) 468-4232
Mailing address
802 E COUNTY HIGHWAY B, SHELL LAKE, WI 54871-4425
(715) 468-7292
(715) 468-4232

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
459427
WI

Other

Enumeration date
09/29/2009
Last updated
09/29/2009
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