Individual
MRS. NICOLE KIDD WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Contact information
Practice address
1016 NORTH MARSHFIELD AVE, APT 1, CHICAGO, IL 60622
(404) 317-1603
Mailing address
1016 NORTH MARSHFIELD AVE, APT 1, CHICAGO, IL 60622
(404) 317-1603
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.008991
IL
Other
Enumeration date
04/16/2010
Last updated
04/16/2010
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