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Individual

MRS. STACEY K ZAHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OCCUPATIONAL THERAP

Contact information

Practice address
19525 W NORTH AVE, WHEATON FRANCISCAN HEALTHCARE MARIAN FRANCISCAN SERVICE, BROOKFIELD, WI 53045
(262) 785-1114
(262) 780-3805
Mailing address
2812 S CONGER PL, WEST ALLIS, WI 53227
(414) 327-7440

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
574026
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40718200
WI
Enumeration date
06/07/2007
Last updated
07/08/2007
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