Individual
IRELAND ELIZABETH STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
9919 154TH ST W, TAYLOR RIDGE, IL 61284-9545
(309) 236-9314
(309) 236-9314
Mailing address
9919 154TH ST W, TAYLOR RIDGE, IL 61284-9545
(309) 236-9314
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.016784
IL
225X00000X
Occupational Therapist
125898
TX
225X00000X
Occupational Therapist
133512
IA
225X00000X
Occupational Therapist
14229218-4201
UT
225X00000X
Occupational Therapist
OT.0008933
CO
Other
Enumeration date
07/15/2025
Last updated
10/22/2025
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