Individual
JESSIE STORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
7818 BIG SKY DR STE 217, MADISON, WI 53719-2840
(608) 709-7070
Mailing address
7818 BIG SKY DR STE 217, MADISON, WI 53719-2840
(608) 709-7070
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
5212-27
WI
225X00000X
Occupational Therapist
Primary
7136-26
WI
Other
Enumeration date
01/03/2016
Last updated
11/12/2021
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