Individual
NICOLE JEANNE LANGLOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1301 W COSSITT AVE, LA GRANGE, IL 60525-2145
(708) 354-5730
Mailing address
908 MACGREGOR RD, LOCKPORT, IL 60441-2217
(815) 342-8644
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056.012624
IL
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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