Individual
STEPHANIE MICHELLE WHISENAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1050 FOUNTAIN LAKES DR, O FALLON, IL 62269-2595
(779) 713-0903
Mailing address
1502 ASPEN CT, EDWARDSVILLE, IL 62025-5575
(309) 303-0894
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.002240
IL
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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