Individual
MRS. BRENDA LEE STAPEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OT
Contact information
Practice address
4214 SHERIDAN RD, RACINE, WI 53403-4142
(262) 554-5006
(262) 554-6892
Mailing address
4214 SHERIDAN RD, RACINE, WI 53403-4142
(262) 554-5006
(262) 554-6892
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
3998-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3998-026
STATE OF WI OT LICENSE
WI
05
—
40854100
—
WI
Enumeration date
02/26/2007
Last updated
07/08/2007
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