Individual ProviderBrigette StockhausenOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address199 Home Rd, Juneau, WI 53039-1401(920) 386-3539PECOS EnrollmentBased on the most recent information from CMS, provider Brigette Stockhausen does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1750493060Provider TypeIndividualFull NameStockhausen, BrigetteGenderFemaleSole ProprietorNoEnumeration Date8/31/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address199 Home Rd, Juneau, WI 53039-1401Phone(920) 386-3539FaxUnlisted FaxMailing LocationMailing AddressS31w37519 School Section Lake Rd, Dousman, WI 53118-9504PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense2322-26WisconsinProvider IdentifiersIDDescriptionIssuerID40814000DescriptionMedicaidIssuerUnlistedWisconsin