Individual
STEPHANIE ROBERTA REISENBUCHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
121 S BOTHWELL ST, PALATINE, IL 60067-6119
(847) 902-9344
Mailing address
121 S BOTHWELL ST, PALATINE, IL 60067-6119
(847) 902-9344
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057001258
IL
Other
Enumeration date
12/30/2010
Last updated
12/30/2010
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