Individual
MS. JOANNE ADEL NASRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
JN24740803P
Contact information
Practice address
16136 BENT GRASS DRIVE, LOCKPORT, IL 60441
(815) 483-7171
Mailing address
16136 BENT GRASS DR, LOCKPORT, IL 60441-4630
(815) 483-7171
(815) 834-2565
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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