Individual
STEPHANIE HAMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
19015 S JODI RD STE A, MOKENA, IL 60448-8534
(708) 478-1414
(708) 478-7786
Mailing address
730 W 275 S, HEBRON, IN 46341-9712
(708) 567-1247
(708) 478-7786
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057001847
IL
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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