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Individual

MRS. SUSAN C. STOCKEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
580 N WASHINGTON ST, JANESVILLE, WI 53548
(608) 756-5555
(608) 314-2442
Mailing address
580 N WASHINGTON ST, JANESVILLE, WI 53548-2984
(608) 756-5555
(608) 314-2442

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3632-26
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1740574391
WI
Enumeration date
05/31/2011
Last updated
07/09/2018
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