Individual
NICOLE DE VERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4401 N MAIN ST, ROCKFORD, IL 61103-1277
(815) 921-9200
Mailing address
4742 CARDAMON LN, ROCKFORD, IL 61114-5320
(815) 608-7501
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.005510
IL
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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