NPI 1033499769

Kimberly Ann Stace, COTA

Practitioner Occupational Therapy Assistant Madison, WI

Practice location

Address: 333 W Main St, Madison, WI 53703-2777
Phone: (608) 283-2178
Mailing address: 82 S Fair Oaks Ave # 2, Madison, WI 53714-2244

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 4844-27 (WI)

Other Occupational Therapy Assistant providers in Wisconsin →

Registry record

NPI: 1033499769
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Aug 2011
Record last updated: 10 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.