Individual
JENNIE STELLATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
1304 RONZHEIMER AVE, ST CHARLES, IL 60174-4450
(331) 228-2458
Mailing address
1802 S TYLER RD, ST CHARLES, IL 60174-4572
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056010880
IL
Other
Enumeration date
09/01/2017
Last updated
09/01/2017
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