Individual
SHANNON CULLERTON STUCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
639 STRUCK STREET, MADISON, WI 53719-1383
(608) 234-5990
(608) 819-6825
Mailing address
639 STRUCK STREET, MADISON, WI 53719-1383
(608) 234-5990
(608) 819-6825
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7195-26
WI
Other
Enumeration date
05/01/2013
Last updated
07/26/2024
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