Individual
HALEIGH ALEXANDRIA NIERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6501 S PROMONTORY DR, CHICAGO, IL 60649-1003
(224) 619-5017
Mailing address
1243 W ADDISON ST APT 2, CHICAGO, IL 60613-3818
(224) 619-5017
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.012714
IL
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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