Individual
MRS. BECKY KAY STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
640 ELM ST, BALDWIN, WI 54002-9358
(715) 684-3231
Mailing address
7181 GLENROSS RD, WOODBURY, MN 55125-1656
(651) 501-9583
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
797-027
WI
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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