Individual
NICHOLE KRISTINE CHATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CLT
Contact information
Practice address
301 N 8TH ST, SPRINGFIELD, IL 62701-1041
(217) 544-6464
Mailing address
301 N 8TH ST, SPRINGFIELD, IL 62701-1041
(217) 370-7698
(217) 757-6661
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.011604
IL
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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