Individual
JOSEPHINE STACHE I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3136 S 95TH ST, MILWAUKEE, WI 53227-4323
(414) 339-5071
Mailing address
S66W22360 NATIONAL AVE, WAUKESHA, WI 53189-9516
(414) 339-5071
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
05/28/2018
Last updated
06/12/2020
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