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Individual

MARIN STAUFFACHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
101 E MILWAUKEE ST STE 507, JANESVILLE, WI 53545-3004
(608) 728-7774
(608) 621-3804
Mailing address
101 E MILWAUKEE ST STE 507, JANESVILLE, WI 53545-3004
(608) 728-7774
(608) 621-3804

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
RBT-23-259875
WI
224Z00000X
Occupational Therapy Assistant
Primary
7279-27
WI

Other

Enumeration date
02/24/2023
Last updated
12/19/2025
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