Individual
MRS. NANCY REBECCA SYLVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
900 KIWANIS DR, FREEPORT, IL 61032-4580
(815) 235-6196
Mailing address
333 1ST ST N, SUITE200, JACKSONVILLE BEACH, FL 32250-6945
(904) 241-9231
(888) 794-5038
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057002996
IL
224Z00000X
Occupational Therapy Assistant
OTA169
TN
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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