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Individual

MRS. STACY SPRINGER LENZIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1131 W GRACE ST, #3, CHICAGO, IL 60613-2830
(773) 297-1716
(773) 348-2455
Mailing address
1131 W GRACE ST, #3, CHICAGO, IL 60613-2830

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056004208
IL

Other

Enumeration date
09/23/2010
Last updated
09/23/2010
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