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Individual
STEPHANIE MARIE CARITHERS
Active
Individual
STEPHANIE MARIE CARITHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L , LPTA
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
160004202
IL
225X00000X
Occupational Therapist
Primary
056009150
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056009150
STATE LICENSE NUMBER
IL
01
—
160004202
STATE LICENSE NUMBER
IL
Enumeration date
04/22/2008
Last updated
07/12/2012
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