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Individual

CATHERINE M STUMPF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1251 N STATE ST, JERSEYVILLE, IL 62052-1169
(618) 498-6441
Mailing address
326 N MAIN STREET, CARROLLTON, IL 62016
(217) 942-9596

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160008712
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2020
IL
Enumeration date
07/20/2020
Last updated
07/20/2020
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