Individual
MRS. MELISSA NOLASCO GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
345 E SUPERIOR ST, CHICAGO, IL 60611-2654
(312) 238-1000
Mailing address
520 S STATE ST, APT. 1516, CHICAGO, IL 60605-1609
(214) 629-1555
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056009289
IL
Other
Enumeration date
02/23/2011
Last updated
02/23/2011
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