Individual
STEPHANIE CARBAJAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT
Contact information
Practice address
212 BARNEY DR, JOLIET, IL 60435-5271
(815) 725-2194
Mailing address
24525 SHAWNEE LN, MANHATTAN, IL 60442-1447
(708) 800-6412
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056.015981
IL
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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