# NOVA OCCUPATIONAL THERAPY P.C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790233096
- **Authorized official:** MRS. LAMAREE CHARISSE GARCIA OTR/L (DIRECT OWNER)
- **Authorized official phone:** (312) 912-2624

## Contact information

- **Practice address:** 3000 S PULASKI RD, CHICAGO, IL 60623-4458
- **Practice address phone:** (312) 912-2624
- **Mailing address:** 3000 S PULASKI RD, CHICAGO, IL 60623-4458
- **Mailing address phone:** (773) 475-7651
- **Mailing address fax:** (773) 475-7564

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | 056009507 | IL | Yes |

## Other

- **Enumeration date:** 09/14/2016
- **Last updated:** 10/13/2016