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Individual

KATHRYN STUMP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
2411 PATHWAYS XING, BELLEVILLE, IL 62221-5885
(618) 355-4700
Mailing address
704 E 3RD ST, O FALLON, IL 62269-2225
(618) 402-9914

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.013439
IL

Other

Enumeration date
04/09/2020
Last updated
09/14/2024
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