Individual
DIANA STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2600 WARD AVE, LA CROSSE, WI 54601-7424
(608) 787-8200
Mailing address
317 WASHINGTON CT, THIENSVILLE, WI 53092-1703
(810) 515-0947
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5758-26
WI
Other
Enumeration date
10/30/2015
Last updated
10/30/2015
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