Individual
MS. JENNIFER EILEEN STINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.P.A., OTR/L
Contact information
Practice address
133 S PIATT ST, MONTICELLO, IL 61856-2122
(217) 762-4929
(217) 762-4929
Mailing address
133 S PIATT ST, MONTICELLO, IL 61856-2122
(217) 762-4929
(217) 762-4929
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
JS30340801P
E.I SPEC, OT
IL
Enumeration date
07/17/2006
Last updated
07/08/2007
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