Individual
CARLYN L NISCHEIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
4112 46TH AVE, ROCK ISLAND, IL 61201-7166
(309) 779-2828
(309) 779-2839
Mailing address
4112 46TH AVE, ROCK ISLAND, IL 61201-7166
(309) 779-2828
(309) 779-2839
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056001042
IL
Other
Enumeration date
10/07/2009
Last updated
10/07/2009
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