Individual
NICOLE CIBUZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2960 N LAKE SHORE DR, CHICAGO, IL 60657-5600
(773) 298-0002
Mailing address
1225 W NORWOOD ST APT 2, CHICAGO, IL 60660-0214
(612) 382-5593
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.014971
IL
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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