Individual
MRS. STEPHANIE LEIGH HULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
613 S CHICAGO ST, GENESEO, IL 61254-1711
(309) 944-9408
Mailing address
613 S CHICAGO ST, GENESEO, IL 61254-1711
(309) 944-9408
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
IL
Other
Enumeration date
04/02/2008
Last updated
04/02/2008
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