| NPI | 1285790352 |
|---|---|
| Former Legal Business Name | STEPHANIE PURYEAR, OTR/L, INC. |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE C PURYEAR Owner/President 847-530-8943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056-005739) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 5554-26) |
| 225X00000X Occupational Therapist (Licence: CA 12500) | |
| Enumeration Date | 2006-12-30 |
| Last Update Date | 2014-12-02 |