Individual
MS. NICOLE MELISSA BOOKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9401 RIDGELAND AVE, OAK LAWN, IL 60453-2221
(708) 599-6700
Mailing address
2741 W 93RD PL, EVERGREEN PARK, IL 60805-2508
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.007690
IL
Other
Enumeration date
09/26/2010
Last updated
09/26/2010
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