Individual
HEATHER BROOKE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1901 SILVER GLEN RD, SOUTH ELGIN, IL 60177-3351
(224) 276-2055
Mailing address
2630 CESARIO DR, HAMPSHIRE, IL 60140-9051
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057004451
IL
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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