Individual
STEPHANIE NICOLE KSIONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3019 W SPENCER ST STE 104, APPLETON, WI 54914-5946
(520) 609-4324
Mailing address
3019 W SPENCER ST STE 104, APPLETON, WI 54914-5946
(520) 609-4324
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8028-26
WI
Other
Enumeration date
08/22/2022
Last updated
04/24/2026
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