Individual
AMY STIBBE MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
700 AUGUSTA ST, RICE LAKE, WI 54868-1935
(715) 234-9007
Mailing address
700 AUGUSTA ST, RICE LAKE, WI 54868-1935
(715) 234-9007
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3956-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40852200
—
WI
Enumeration date
05/16/2007
Last updated
12/20/2013
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