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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STEPHANIE LEE MABUS

Active Sole Proprietor

STEPHANIE LEE MABUS is a Occupational Therapy Assistant healthcare provider located in JACKSONVILLE, Illinois. NPI 1134768708 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · JACKSONVILLE, IL

Registration Details

NPI Number
1134768708
Provider Type
Individual
Gender
Female
NPI Issued
Dec 31, 2019 (6.5887361451891 yrs)
Last Updated
Dec 31, 2019
License
057003071 (IL)
Sole Proprietor
Yes

Practice Information

Address
873 GORVE ST
JACKSONVILLE, IL, 62650
Browse IL providers · Browse ZIP 62650
Phone
2174793400
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in JACKSONVILLE, IL

Name Credential NPI
SHAWNA STRIPLIN 1699182261
SAMANTHA BLIMLING COTA/L 1851869929
MICHAEL SCOTT SLINKARD COTA/L 1184249344
CHELSEA MARIE SUTTLES COTA/L 1114689916
BETHANY DANIELLE RANDALL COTA 1114651452
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.