Individual
STEPHANIE ELIZABETH MATILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
807 W JEFFERSON ST UNIT U, SHOREWOOD, IL 60404-7301
(815) 714-2977
Mailing address
2902 FACEL VEGA DR, JOLIET, IL 60435-6487
(815) 557-7787
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056.013444
IL
Other
Enumeration date
11/11/2020
Last updated
02/20/2023
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