STEPHANIE LYNN WALL

SPRINGFIELD, IL
NPI1477718534
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057002403)
Enumeration Date2008-07-28
Last Update Date2008-07-28
Business Address
Miss STEPHANIE LYNN WALL COTA/L
3400 W WASHINGTON ST
SPRINGFIELD, IL 62711-7917
Phone number: 217-787-9600
Mailing Address
Miss STEPHANIE LYNN WALL COTA/L
604 W LINCOLN AVE
PETERSBURG, IL 62675-1666
Phone number: 217-632-0236
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