Individual
NICOLE SCHULTZ BARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR//L
Contact information
Practice address
760 RED OAK LN, HIGHLAND PARK, IL 60035-3816
(847) 831-5100
Mailing address
815 OAKTON ST, EVANSTON, IL 60202-2803
(847) 322-4639
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056012668
IL
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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