Individual
MS. STACY MARIE CHAUDOIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1825 N PROSPECT AVE, MILWAUKEE, WI 53202-1933
(414) 298-8451
Mailing address
1924 N HUBBARD ST APT 402, MILWAUKEE, WI 53212-3792
(414) 460-8889
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2959-026
WI
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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