Most Relevant Information
Provider Data
NPI Number: | 1003276387 |
Provider Name: | STACY PADLEY |
Entity Type: | Individual |
Taxonomy Code: | 225X00000X |
Specialty: | Occupational Therapist |
License Number: | 5603-26 |
Most Important Dates
Enumeration Date: | 03/01/2016 |
Last Updated: | 08/26/2016 |
Provider Practice Location
323 W MONROE STREET
WYOCENA
WI
53969
Practice Location Phone/Fax
Phone: | 6084292181 |
Fax: |
Provider Mailing Location
6886 COYLE RD
LODI
WI
535559503
Provider Mailing Phone/Fax
Phone: | 6085777034 |
Fax: |