Most Relevant Information
Provider Data
| NPI Number: | 1003011651 |
| Provider Name: | MARY L. STEDELIN PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/15/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
208 ZACHERY DR
MOUNT VERNON
IL
628646712
Practice Location Phone/Fax
| Phone: | 6182045497 |
| Fax: | 6182045487 |
Provider Mailing Location
25 NELMS AVE
CENTRALIA
IL
628014930
Provider Mailing Phone/Fax
| Phone: | 6185535097 |
| Fax: |