Individual
STEFANIE MARIE MCKNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
707 S UNIVERSITY AVE, BEAVER DAM, WI 53916-3027
(920) 319-1435
Mailing address
707 S UNIVERSITY AVE, BEAVER DAM, WI 53916-3027
(920) 319-1435
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
26-6672
WI
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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