Individual
NICOLE MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
790 N PLUM GROVE RD, SCHAUMBURG, IL 60173-4764
(847) 807-6154
Mailing address
790 N PLUM GROVE RD, SCHAUMBURG, IL 60173-4764
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056011411
IL
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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