Individual
STACY L. ARMITAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OCCUPATIONAL THERAPI
Contact information
Practice address
711 W ADAMS ST, BLACK RIVER FALLS, WI 54615-9108
(715) 284-1330
(715) 284-1398
Mailing address
711 W ADAMS ST, BLACK RIVER FALLS, WI 54615-9108
(715) 284-1330
(715) 284-1398
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2387-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2387-026
STATE LICENSE
WI
05
—
40748400
—
WI
Enumeration date
05/22/2008
Last updated
05/22/2008
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