Individual
MR. NATHANIEL CODINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR-L
Contact information
Practice address
2710 N CLARK ST, CHICAGO, IL 60614-1503
(773) 244-0005
Mailing address
400 E RANDOLPH ST, APT 1519, CHICAGO, IL 60601-7329
(773) 405-7103
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.007116
IL
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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