Individual
LAURIE STELLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.R.
Contact information
Practice address
275 REGENCY CT, SUITE 200, BROOKFIELD, WI 53045-6168
(262) 798-9650
(262) 798-9652
Mailing address
PO BOX 611, BROOKFIELD, WI 53008-0611
(262) 798-9650
(262) 798-9652
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1309-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1309-026
PRIVATE PRACTICE-O.T.R.
WI
Enumeration date
08/14/2008
Last updated
08/18/2008
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