Individual
JENNIFER STUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
19475 W NORTH AVE STE 201, BROOKFIELD, WI 53045-4199
(262) 641-4280
Mailing address
19475 W NORTH AVE STE 201, BROOKFIELD, WI 53045-4199
(262) 641-4280
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5194-26
WI
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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