Individual
JENNIFER PAULINE STAMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
N9368 GREEN VALLEY RD, WATERTOWN, WI 53094-9676
(262) 227-9569
(262) 670-6960
Mailing address
1248 KENNEDY DR, HARTFORD, WI 53027-9264
(262) 670-9501
(262) 670-6960
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3362-026
WI
Other
Enumeration date
04/04/2007
Last updated
12/16/2014
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