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NPI Code Detail

MEDICARE: DR. PAMELA C LARSON-STEPANEK OTD, OTR/L

MEDICARE: DR. PAMELA C LARSON-STEPANEK OTD, OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist4051002353WI

General Provider Information

NPI Number : 1992092456
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAMELA C LARSON-STEPANEK OTD, OTR/L
Provider Business Mailing Address
First Line : 2817 BAER ST
Second Line :
City : CROSS PLAINS
State : WI
Zip : 53528-9549
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 545 W DAYTON ST
Second Line :
City : MADISON
State : WI
Zip : 53703-1995
Country : US
Telephone Number : 608-663-1879
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2011
Last Update Date : 04/10/2026

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Directions to “ DR. PAMELA C LARSON-STEPANEK OTD, OTR/L” Practice Location

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