Organization
NOVA OCCUPATIONAL THERAPY P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAMAREE CHARISSE GARCIA OTR/L (DIRECT OWNER)
(312) 912-2624
Entity
Organization
Contact information
Practice address
3000 S PULASKI RD, CHICAGO, IL 60623-4458
(312) 912-2624
Mailing address
3000 S PULASKI RD, CHICAGO, IL 60623-4458
(773) 475-7651
(773) 475-7564
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
056009507
IL
Other
Enumeration date
09/14/2016
Last updated
10/13/2016
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