NPI 1043940984

Beth Ellen Stanford, MHP

Practitioner Rehabilitation Practitioner Waterloo, IL

Practice location

Address: 988 N Illinois Route 3, Waterloo, IL 62298-1059
Phone: (618) 939-4444

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X

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Registry record

NPI: 1043940984
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jun 2022
Record last updated: 14 Jun 2022

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.