Individual
KIM STOCKHEIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1604 VIKING AVE, HOLMEN, WI 54636-9678
(608) 526-3042
Mailing address
1604 VIKING AVE, HOLMEN, WI 54636-9678
(608) 526-3042
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
101303
MN
225X00000X
Occupational Therapist
Primary
552-026
WI
Other
Enumeration date
03/21/2008
Last updated
03/21/2008
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