Doctor Name: | CYNTHIA STEDMAN |
NPI Number: | 1063643823 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 070017246 |
Business Practice Address: | 11531 Swinford Ln Mokena, IL - 604489274 |
Business Phone Number: | 2192290322 |
Business Fax Number: | |
Mailing Address: | 626 S Loomis St, NAPERVILLE |
State: | IL |
Postal Code: | 605406612 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/28/2009 |
NPI Last Update Date: | 07/28/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 070017246 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |