Individual
LISA MARIE STANGLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
626 E SLIFER ST, PORTAGE, WI 53901-1224
(608) 742-8814
Mailing address
626 E SLIFER ST, PO BOX 564, PORTAGE, WI 53901-1224
(608) 742-8814
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1352 026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40898300
—
WI
Enumeration date
05/22/2008
Last updated
05/22/2008
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