Individual
ERICKA L STEMPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
300 E MAZON AVE, DWIGHT, IL 60420-1104
(815) 584-9268
(815) 584-9268
Mailing address
300 E MAZON AVE, DWIGHT, IL 60420-1104
(815) 584-9268
(815) 584-9268
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.002632
IL
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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