Individual
VIVIAN LOUISE STORM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1500 GREEN BAY ST, LA CROSSE, WI 54601-6455
(608) 784-8125
Mailing address
N1394 RED OAKS DR, LA CROSSE, WI 54601-2156
(608) 787-0208
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1359-26
WI
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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