Individual
HANNA STOVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
824 S MAIN ST, CRYSTAL LAKE, IL 60014-6265
(815) 788-0087
Mailing address
2606 WYNDSONG CT, CRYSTAL LAKE, IL 60012-1282
(815) 575-2801
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.016621
IL
225X00000X
Occupational Therapist
26649
CA
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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