Individual
STACY NEUMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
8901 W LINCOLN AVE, WEST ALLIS, WI 53227-2409
(414) 328-6640
Mailing address
1349 S 97TH ST, WEST ALLIS, WI 53214-2628
(414) 771-9204
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
26-3753
WI
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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