Individual
MRS. BARBARA LEE MCNICHOLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
14517 LAKE RIDGE RD, ORLAND PARK, IL 60462-7417
(708) 349-1476
(708) 349-1498
Mailing address
14517 LAKE RIDGE RD, ORLAND PARK, IL 60462-7417
(708) 349-1476
(708) 349-1498
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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