Individual
MRS. LORI DELL STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
13111 N PORT WASHINGTON RD, MEQUON, WI 53097-2416
(262) 243-7444
(262) 243-7446
Mailing address
8411 W POPLAR DR, MEQUON, WI 53097-3143
(262) 242-1224
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
120-026
WI
Other
Enumeration date
06/16/2006
Last updated
07/08/2007
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