Individual
STACY MARIE HAUNFELDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2995 SUB ZERO PKWY, FITCHBURG, WI 53719-8801
(608) 819-6394
Mailing address
1121 AMERICAN WAY, LAKE MILLS, WI 53551-1971
(563) 581-8044
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5036-27
WI
Other
Enumeration date
11/04/2013
Last updated
12/08/2024
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