Individual
MRS. NICOLE MARIE ROWOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
600 N COLLEGE AVE, GENESEO, IL 61254-1099
(309) 944-9150
(309) 944-9259
Mailing address
921 S STATE ST, GENESEO, IL 61254-1929
(309) 489-6077
(309) 944-9259
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056009450
IL
Other
Enumeration date
09/13/2011
Last updated
05/20/2024
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