Individual
NICOLE KOSTECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
852 S WASHINGTON ST, ELMHURST, IL 60126-4841
(630) 664-2534
Mailing address
410 E HUNTINGTON LN, ELMHURST, IL 60126-3650
(630) 664-2534
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.009806
IL
Other
Enumeration date
10/04/2012
Last updated
11/07/2022
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