Individual
STEPHANIE A NEIBARGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1000 HEALTH CENTER DR, MATTOON, IL 61938-9253
(217) 258-2576
Mailing address
19252 N DOUGLAS RD, MARSHALL, IL 62441-3951
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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