Organization
STELLAR KINETICS
Active
Other names
Stepha Ksionda OTR
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE KSIONDA OTR/L (CEO)
(520) 609-4324
Entity
Organization
Contact information
Practice address
3019 W SPENCER ST STE 104, APPLETON, WI 54914-5946
(520) 609-4324
Mailing address
3019 W SPENCER ST STE 104, APPLETON, WI 54914-5946
(520) 609-4324
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
07/17/2025
Last updated
04/24/2026
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