NIVEA LATHAN

CHICAGO, IL
NPI1841829629
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IL  056.010873)
Enumeration Date2020-04-03
Last Update Date2021-09-03
Business Address
NIVEA LATHAN OTR/L
1510 E. 55TH
CHICAGO, IL 60615
Phone number: 312-685-2039
Mailing Address
NIVEA LATHAN OTR/L
1510 E 55TH ST
CHICAGO, IL 60615-2598
Phone number: 312-685-2039
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