Individual
NICOLE Z THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3101 201ST PL, LYNWOOD, IL 60411-1588
(708) 474-7141
(708) 474-0290
Mailing address
3101 201ST PL, LYNWOOD, IL 60411-1588
(708) 474-7141
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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