Individual
STEPHANIE DOROTHY GEURTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
1630 COMMANCHE AVE, BELLIN SPORTS MEDICINE, GREEN BAY, WI 54313-6089
(920) 433-6700
(720) 433-6709
Mailing address
1630 COMMANCHE AVE, BELLIN SPORTS MEDICINE, GREEN BAY, WI 54313-6089
(920) 433-6700
(720) 433-6709
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2934-026
WI
Other
Enumeration date
06/28/2012
Last updated
08/23/2012
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