Provider Demographics
NPI:1114581337
Name:STEPHANIE ANNE THERAPY, PLLC
Entity Type:Organization
Organization Name:STEPHANIE ANNE THERAPY, PLLC
Other - Org Name:INFINITY & BEYOND PEDIATRIC THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:VOGLER
Authorized Official - Suffix:
Authorized Official - Credentials:MOT, OTR/L
Authorized Official - Phone:847-320-0200
Mailing Address - Street 1:755 ELA RD STE A
Mailing Address - Street 2:
Mailing Address - City:LAKE ZURICH
Mailing Address - State:IL
Mailing Address - Zip Code:60047-2412
Mailing Address - Country:US
Mailing Address - Phone:847-320-0200
Mailing Address - Fax:847-327-0857
Practice Address - Street 1:755 ELA RD STE A
Practice Address - Street 2:
Practice Address - City:LAKE ZURICH
Practice Address - State:IL
Practice Address - Zip Code:60047-2412
Practice Address - Country:US
Practice Address - Phone:847-320-0200
Practice Address - Fax:847-327-0857
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-23
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty