Individual
KATHLEEN STOCKHAUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
199 HOME RD, JUNEAU, WI 53039-1401
(920) 386-3539
Mailing address
S39W33299 COUNTY ROAD D, DOUSMAN, WI 53118-9211
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3723-26
WI
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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