Individual
AMBER MAE STUMLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
14345 COUNTY HIGHWAY B, SPARTA, WI 54656-4509
(608) 269-8825
Mailing address
401 HATTAN ST, BANGOR, WI 54614-8862
(608) 386-8216
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5532-27
WI
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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