Individual
MRS. STEPHANIE ANNE MACOMBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
725 W PARK AVE, CHIPPEWA FALLS, WI 54729-3276
(715) 720-2058
Mailing address
3120 SATURN AVE, EAU CLAIRE, WI 54703-0858
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1379-027
WI
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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