Stephanie Lee Mabus
NPI #1134768708 in Jacksonville, Illinois
Provider Information
- NPI Number
- 1134768708
- Entity Type
- Individual
- Name
- Stephanie Lee Mabus
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- Dec 31, 2019
- Last Updated
- Dec 31, 2019
Practice Location
- Address
- 873 GORVE ST
- City
- Jacksonville
- State
- Illinois
- ZIP Code
- 62650
- Phone
- (217) 479-3400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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