Individual
STEPHANIE RACHEL CONDOLUCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-6400
Mailing address
54 THIRD ST, NEW CITY, NY 10956-4933
(845) 596-4969
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6238-26
WI
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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