Individual
EMMA LORN KLABOE-STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1425 N 12TH AVE APT 221, WAUSAU, WI 54401-2451
(715) 292-7147
Mailing address
1425 N 12TH AVE APT 221, WAUSAU, WI 54401-2451
(715) 292-7147
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5727
WI
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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