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Beth Ellen Stanford, MHP
Rehabilitation Practitioner in Waterloo, Illinois
NPI 1043940984

Beth Ellen Stanford is a Rehabilitation Practitioner based in Waterloo, IL. Beth Ellen Stanford practices in Waterloo, IL and has the professional credentials of MHP. The NPI Number for Beth Ellen Stanford is 1043940984 and holds a License No. (Illinois).

The current practice location address for Beth Ellen Stanford is 988 N Illinois Route 3, Waterloo, IL and can be reached out via phone at 618-939-4444.

Location: 988 N Illinois Route 3, Waterloo, IL, 62298-1059
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043940984
Provider Name
Beth Ellen Stanford
Credential
MHP
Provider Entity Type
Individual
Gender
Female
Address
988 N Illinois Route 3, Waterloo, IL, 62298-1059
Phone Number
618-939-4444
Fax Number
Provider Enumeration Date
06/14/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
988 N Illinois Route 3
City
Waterloo
State
Illinois
Zip
62298-1059
Phone Number
618-939-4444
Fax Number
person
Provider Business Mailing Address Details
Address
988 N Illinois Route 3
City
Waterloo
State
Illinois
Zip
62298-1059
Phone Number
618-939-4444
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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