Individual
NICOLE BING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3024 E EMPIRE ST, BLOOMINGTON, IL 61704-5402
(309) 454-4411
(309) 556-7515
Mailing address
611 W PARK ST, URBANA, IL 61801-2529
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056014727
IL
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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