STEPHANIE GLORIA DEIS

SUN PRAIRIE, WI
NPI1477162022
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: WI  6721-26)
Enumeration Date2020-07-29
Last Update Date2020-07-29
Business Address
STEPHANIE GLORIA DEIS
1330 OKEEFFE AVE APT 113
SUN PRAIRIE, WI 53590-4229
Phone number: 612-309-2062
Mailing Address
STEPHANIE GLORIA DEIS
1330 OKEEFFE AVE APT 113
SUN PRAIRIE, WI 53590-4229
Phone number: 612-309-2062