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

MRS. JACLYN LEIGH STAHL, PTA

Active

MRS. JACLYN LEIGH STAHL, PTA is a Occupational Therapist healthcare provider located in LAKE BLUFF, Illinois. NPI 1467832089 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · LAKE BLUFF, IL

Registration Details

NPI Number
1467832089
Provider Type
Individual
Gender
Female
NPI Issued
Jun 9, 2015 (11.221606227799 yrs)
Last Updated
Jan 11, 2018
License
160.005959 (IL)

Practice Information

Address
101 WAUKEGAN RD STE 1100
LAKE BLUFF, IL, 600443012
Browse IL providers · Browse ZIP 60044
Phone
8472472402
Fax
8472472405
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in LAKE BLUFF, IL

Name Credential NPI
NICOLE MCGRATH PTA 1043977762
STEPHEN PETER DIAZ 1174238000
MIGUEL DAVIS 1013790070
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.