SearchIllinoisOccupational Therapist

Stephanie Martin

NPI 1386412013 · on the registry since 2023

Practice

Address
1 Bronze Pointe Blvd Ste 2a
Swansea, IL 62226
Phone
(833) 587-1784
Organisation at this address
Moonlight Pediatrics Llc
Interventional Pain Medicine Llc
Gateway Professional Services, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
34

Registry record

Primary taxonomy
Occupational Therapist
225X00000X
Also registered as
Behavior Technician
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-01-31

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