NPI 1003011651
Mary L. Stedelin, PT
Practice location
- Address
- 208 Zachery Dr, Mount Vernon, IL 62864-6712
- Phone
- (618) 204-5497
- Fax
- (618) 204-5487
- Mailing address
- 25 Nelms Ave, Centralia, IL 62801-4930
Registered specialties
Physical Therapist
Primary
Registry record
- NPI
- 1003011651
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 15 Jun 2007
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.