Individual
NICOLE ELIZABETH NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
2515 N CLARK ST, CHICAGO, IL 60614-2730
(800) 543-7362
Mailing address
2515 N CLARK ST, CHICAGO, IL 60614-2730
(800) 543-7362
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/23/2019
Last updated
02/19/2024
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