Individual
NICOLE PERTEETE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4437 S CICERO AVE, CHICAGO, IL 60632-4333
(773) 955-1364
Mailing address
231 E 59TH ST, UNIT 1, CHICAGO, IL 60637-1314
(312) 567-0676
(773) 955-1364
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057002275
IL
Other
Enumeration date
01/09/2012
Last updated
01/09/2012
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