Individual
CAROL J. STAMPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
70 W GREEN TREE RD, CLINTONVILLE, WI 54929-1009
(715) 823-2194
(715) 823-1303
Mailing address
70 W GREEN TREE RD, CLINTONVILLE, WI 54929-1009
(715) 823-2194
(715) 823-1303
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
15-019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36137700
—
WI
Enumeration date
08/28/2007
Last updated
08/28/2007
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