Individual
DANIELLA NITZOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
1144 LAKE ST STE 200B, OAK PARK, IL 60301-1043
(639) 907-9165
Mailing address
729 HAYES AVE, OAK PARK, IL 60302-1705
(773) 474-1546
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056012941
IL
Other
Enumeration date
03/14/2019
Last updated
05/25/2023
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