Individual
MS. NICOLE D BRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
19065 HICKORY CREEK DR, #110, MOKENA, IL 60448
(708) 478-5400
(708) 478-5300
Mailing address
1720 CONVENTRY RD, NEW LENOX, IL 60451
(815) 922-0986
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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