Individual
EDITH QUILES STANGL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
3305 LEOPOLD WAY APT 102, FITCHBURG, WI 53713-3517
(417) 413-9060
Mailing address
3305 LEOPOLD WAY APT 102, FITCHBURG, WI 53713-3517
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
637026
WI
Other
Enumeration date
10/17/2018
Last updated
11/15/2018
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