Individual
MISS NICOLE MARTENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
422 N NORTHWEST HWY STE 210, PARK RIDGE, IL 60068-3273
(847) 699-9757
Mailing address
422 N NORTHWEST HWY STE 210, PARK RIDGE, IL 60068-3273
(847) 699-9757
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056014068
IL
225XP0200X
Pediatric Occupational Therapist
056014068
IL
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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