Individual
BRIGETTE STOCKHAUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
199 HOME RD, JUNEAU, WI 53039-1401
(920) 386-3539
Mailing address
S31W37519 SCHOOL SECTION LAKE RD, DOUSMAN, WI 53118-9504
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2322-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40814000
—
WI
Enumeration date
08/31/2006
Last updated
07/08/2007
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