Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 070017246 | IL |
NPI | 1063643823 |
---|---|
Provider Name | Cynthia Stedman |
First Address | Naperville, IL 60565-4206 |
Second Address | Naperville, IL 60565-4206 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2009 |
Last Update Date | 26/06/2020 |