Individual
KELLY NESBITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
830 S ADDISON AVE, VILLA PARK, IL 60181-2877
(630) 620-4433
Mailing address
2123 S FINLEY RD APT 415, LOMBARD, IL 60148-6458
(317) 997-7643
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.012180
IL
Other
Enumeration date
10/13/2017
Last updated
10/13/2017
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