Individual
MRS. JANICE MARIE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2901 MINOT LN, WAUKESHA, WI 53188-4452
(262) 547-1906
Mailing address
2901 MINOT LN, WAUKESHA, WI 53188-4452
(262) 547-1906
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1103-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1103-026
WISCONSIN LICENSE
WI
Enumeration date
04/09/2008
Last updated
04/09/2008
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