Individual
SAMANTHA STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT
Contact information
Practice address
8182 W GREENDALE AVE, NILES, IL 60714-2738
(847) 318-4300
Mailing address
1735 N PAULINA ST APT 407, CHICAGO, IL 60622-1461
(630) 639-0842
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056015122
IL
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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