Individual
STACEY KESNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
—
WI
225X00000X
Occupational Therapist
Primary
360951
OR
Other
Enumeration date
08/01/2013
Last updated
04/09/2018
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