NICOLE DE VERA

ROCKFORD, IL
NPI1558952218
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057.005510)
Enumeration Date2021-01-26
Last Update Date2021-01-26
Business Address
NICOLE DE VERA
4401 N MAIN ST
ROCKFORD, IL 61103-1277
Phone number: 815-921-9200
Mailing Address
NICOLE DE VERA
4742 CARDAMON LN
ROCKFORD, IL 61114-5320
Phone number: 815-608-7501