Individual
JENNA STEFFEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1497 MOLLIE DR, MORRIS, IL 60450-2489
(815) 557-8414
Mailing address
1497 MOLLIE DR, MORRIS, IL 60450-2489
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096002714
IL
Other
Enumeration date
11/07/2011
Last updated
11/07/2011
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