Individual
MRS. STEPHANIE PURYEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5757 W OKLAHOMA AVE STE 203, SENSORY STEPS INC. AT MARY PETERMAN MSW, LLC, MILWAUKEE, WI 53219-4303
(847) 530-8943
(414) 431-6401
Mailing address
5757 W OKLAHOMA AVE STE 203, SENSORY STEPS INC. AT MARY PETERMAN MSW, LLC, MILWAUKEE, WI 53219-4303
(847) 530-8943
(414) 431-6401
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056-005739
IL
225X00000X
Occupational Therapist
12500
CA
225X00000X
Occupational Therapist
555426
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02232059
BLUE CROSS BLUE SHIELD
IL
Enumeration date
12/31/2006
Last updated
12/02/2014
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