Individual
NELLY STAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1400 OTTO BLVD, CHICAGO HEIGHTS, IL 60411-3871
(708) 709-2030
Mailing address
1400 OTTO BLVD, CHICAGO HEIGHTS, IL 60411-3871
(708) 709-2030
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.005514
IL
Other
Enumeration date
09/11/2006
Last updated
12/16/2016
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