SearchWisconsin224Z00000X

Marin Stauffacher, COTA

NPI 1699474031 · on the registry since 2023

Practice

Address
101 E Milwaukee St Ste 507
Janesville, WI 53545
Phone
(608) 728-7774
Fax
(608) 621-3804
Organisation at this address
The Brave Space Llc
Marigold Speech Pathology Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Also registered as
103K00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-12-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin