Individual
DEBORAH ANN NAKAYAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-5425
Mailing address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-5425
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.000009
IL
Other
Enumeration date
11/27/2012
Last updated
05/02/2013
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