Individual
NICOLE PAIGE SIEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9524 MANSFIELD AVE APT 5, OAK LAWN, IL 60453-2866
(708) 864-0958
Mailing address
9524 MANSFIELD AVE APT 5, OAK LAWN, IL 60453-2866
(708) 864-0958
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.015420
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/08/2022
Last updated
05/25/2023
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