Amanda L Stephenson, DPT

NPI #1619228004 in Canton, Illinois

Provider Information

NPI Number: 1619228004
Entity Type: Individual
Name: Amanda L Stephenson, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Sep 25, 2012
Last Updated: Sep 25, 2012

Practice Location

Address: 865 N MAIN ST
City: Canton
State: Illinois
ZIP Code: 61520-1264
Phone: (309) 649-1572

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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