Individual
STEPHANIE WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 E CHARLES ST, MEDORA, IL 62063-1106
(217) 229-1266
Mailing address
205 EAST CHARLES, MEDORA, IL 62063
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.003533
IL
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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