Individual
M. JEAN STOLZENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2390 48TH ST S, WISCONSIN RAPIDS, WI 54494-7712
(715) 422-6083
Mailing address
2390 48TH ST S, WISCONSIN RAPIDS, WI 54494-7712
(715) 422-6083
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
121-026
WI
Other
Enumeration date
06/04/2008
Last updated
06/04/2008
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