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

STEPHANIE DENICE WALCZAK, COTA/L

Active

STEPHANIE DENICE WALCZAK, COTA/L is a Occupational Therapy Assistant healthcare provider located in HENRY, Illinois. NPI 1245402296 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · HENRY, IL

Registration Details

NPI Number
1245402296
Provider Type
Individual
Gender
Female
NPI Issued
Mar 31, 2008 (18.363171462746 yrs)
Last Updated
Mar 31, 2008

Practice Information

Address
1650 INDIANTOWN RD
HENRY, IL, 615379227
Browse IL providers · Browse ZIP 61537
Phone
3093643905
Fax
3093643567
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in HENRY, IL

Name Credential NPI
BETTY LOUISE HEINOLD COTA 1689846636
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.