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Individual

STACY STANEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
19395 W CAPITOL DR STE 200, BROOKFIELD, WI 53045-2736
(262) 923-7101
(262) 923-7178
Mailing address
19395 W CAPITOL DR STE 200, BROOKFIELD, WI 53045-2736
(262) 923-7101
(262) 923-7178

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3752
WI

Other

Enumeration date
12/04/2017
Last updated
12/04/2017
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