Individual
MRS. NORA PORROVECCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
394 FEDERAL DR, CRYSTAL LAKE, IL 60014-6281
(815) 459-3810
Mailing address
4 CHADWICK CT, LAKE IN THE HILLS, IL 60156-6818
(847) 669-6289
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.004048
IL
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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