Individual
STACEY BOYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1050 DIVISION ST, MAUSTON, WI 53948-1931
(608) 847-1422
Mailing address
1050 DIVISION ST, MAUSTON, WI 53948-1931
(608) 847-1422
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5173-26
WI
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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