Kaas-Lallensack, Stella D.

Kaas-Lallensack, Stella D. is an individual health care provider with primary practice located at W5774 Garton Rd , Plymouth WI 53073. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Kaas-Lallensack, Stella D. can be contacted via phone (920) 876-2521.

Contact Information

Primary practice address
W5774 Garton Rd Plymouth WI 53073
Phone: (920) 876-2521
Fax: (920) 849-1811
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 815-26 Wisconsin

Profile Details

NPI number 1275780868
LBN Legal business name Kaas-Lallensack, Stella D.
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2008
Last updated Aug 26th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275780868 NPPES
Wisconsin MEDICAID 40676400

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