Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stephanie Lee Mabus

Individual provider Occupational Therapy Assistant · NPI 1134768708

Stephanie Lee Mabus is an Occupational Therapy Assistant in Jacksonville, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2019
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Practice location Address checks out

873 Gorve St
Jacksonville, IL 62650
Phone: (217) 479-3400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 057003071 (IL)

Record details

NPI number1134768708
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 31, 2019
Last updated in NPPESDecember 31, 2019
Certification dateDecember 31, 2019
Mailing address15248 Country Lake Estates Rd, Girard, IL 62640-7285

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