Individual
STEPHANIE S. REBENOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
245 SYCAMORE ST, SAUK CITY, WI 53583-1013
(608) 643-3383
Mailing address
4604 N LAURA DR, JANESVILLE, WI 53548-8690
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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