Individual
MRS. CORY A NELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
6800 N FRONTAGE RD, BURR RIDGE, IL 60527-7819
(708) 327-1050
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 327-1050
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.008985
IL
Other
Enumeration date
07/30/2012
Last updated
07/30/2012
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