Provider Demographics
NPI:1063643823
Name:STEDMAN, CYNTHIA (DPT)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:STEDMAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1929 SPRINGSIDE DR
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60565-4206
Mailing Address - Country:US
Mailing Address - Phone:630-404-0774
Mailing Address - Fax:
Practice Address - Street 1:1929 SPRINGSIDE DR
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60565-4206
Practice Address - Country:US
Practice Address - Phone:630-404-0774
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-28
Last Update Date:2020-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0700172462251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics