Individual
REBECCA E NIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
4451 W AINSLIE ST APT 2, CHICAGO, IL 60630-4803
(260) 349-5714
(773) 943-6346
Mailing address
4451 W AINSLIE ST # 2, CHICAGO, IL 60630-2642
(260) 349-5714
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056010313
IL
225XP0200X
Pediatric Occupational Therapist
Primary
056.010313
IL
Other
Enumeration date
09/30/2013
Last updated
07/21/2020
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