Individual
STEPHANIE STEELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 E WALNUT ST, BLOOMINGTON, IL 61701-3244
(309) 827-8004
Mailing address
700 E WALNUT ST, BLOOMINGTON, IL 61701-3244
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057003273
IL
Other
Enumeration date
04/19/2013
Last updated
04/19/2013
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