Individual
NICOLE MARIE MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5201 W WAR MEMORIAL DR STE 550, PEORIA, IL 61615-9280
(309) 280-7996
Mailing address
5911 N ROSEMEAD DR, PEORIA, IL 61614-4031
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057006175
IL
Other
Enumeration date
07/14/2026
Last updated
07/14/2026
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