Individual
MRS. DENISE RENEE STELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3360 GATEWAY RD STE 100, BROOKFIELD, WI 53045-5115
(262) 923-7171
(262) 923-7178
Mailing address
1436 SOUTH LINCOLN STREET, SHAWANO, WI 54166
(715) 526-6111
(715) 524-5708
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
839027
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40797400
—
WI
Enumeration date
07/07/2008
Last updated
09/23/2022
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