Mariah Stubblefield, MSOTR/L

NPI #1871986976 in Benton, Illinois

Provider Information

NPI Number: 1871986976
Entity Type: Individual
Name: Mariah Stubblefield, MSOTR/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: MSOTR/L
Enumeration Date: Mar 12, 2015
Last Updated: Mar 12, 2015

Practice Location

Address: 14840 STATE HIGHWAY 14
City: Benton
State: Illinois
ZIP Code: 62812-4712
Phone: (618) 218-5006

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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