Individual
MRS. STEPHANIE ELYSE HOLSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1112 OAK ST, CARMI, IL 62821-1344
(618) 382-2927
Mailing address
1112 OAK ST, CARMI, IL 62821-1344
(619) 382-2927
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
160007098
IL
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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