Mary L. Stedelin
Physical Therapist
208 Zachery Dr
Mount Vernon
, Illinois 62864-6712
Mary L. Stedelin
Physical Therapist
208 Zachery Dr
Mount Vernon
, Illinois 62864-6712
(618) 553-5097
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About
Features
Specialties
- Physical Therapist
Languages spoken
- English
Location
First Address
- Mary L. Stedelin
- 25 Nelms Ave
- Centralia, IL
- Zip : 62801-4930
- Phone : (618) 553-5097
Second Address
- Mary L. Stedelin
- 208 Zachery Dr
- Mount Vernon, IL
- Zip : 62864-6712
- Fax : (618) 204-5487
- Phone : (618) 204-5497
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | IL |
National Provider Identifier
| NPI | 1003011651 |
|---|---|
| Provider Name | Mary L. Stedelin |
| First Address | Centralia, IL 62801-4930 |
| Second Address | Mount Vernon, IL 62864-6712 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/06/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.