Search › Illinois › 224Z00000X
Stacy Blider, COTA
NPI 1285096768 · on the registry since 2016 · sole proprietor
Practice
- Address
- 932 Louise Dr
Momence, IL 60954 - Phone
- (708) 400-1173
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-03-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois