STACY BLIDER

MOMENCE, IL
NPI1285096768
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057002262)
Enumeration Date2016-03-24
Last Update Date2016-03-24
Business Address
Mrs. STACY BLIDER COTA
932 LOUISE DR
MOMENCE, IL 60954
Phone number: 708-400-1173
Mailing Address
Mrs. STACY BLIDER COTA
932 LOUISE DR
MOMENCE, IL 60954-2326
Phone number: 708-400-1173