Individual
MELISSA KATHRYN STIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR
Contact information
Practice address
9649 W 55TH ST, COUNTRYSIDE, IL 60525-3632
(708) 352-3580
Mailing address
9649 W 55TH ST, COUNTRYSIDE, IL 60525-3632
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.009280
IL
Other
Enumeration date
02/14/2011
Last updated
02/14/2011
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