Stephanie Lynn Phares, MOT,OTR/L
Occupational Therapist in Rock Island, IL. Individual provider (NPI-1).
NPI number1891211348
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1891211348
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Lynn Phares
- Credential
- MOT,OTR/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | – | IL | Yes |
| 225X00000X | Occupational Therapist | 056011368 | IL |
Practice location
4450 48th Avenue CtRock Island, IL 61201-9213
Phone 309-558-0145 · Fax 309-558-0149
Mailing address
4450 48th Avenue CtRock Island, IL 61201-9213
Phone 309-558-0145 · Fax 309-558-0149
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All 23 Occupational Therapist providers in Rock Island · All 976 providers in Rock Island
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