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1912481193
THERESA NICHOLS
GLENVIEW, IL
NPI
1912481193
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: DE u20000966)
Enumeration Date
2018-09-24
Last Update Date
2018-09-24
Business Address
THERESA NICHOLS COTA/L
2600 COMPASS RD
GLENVIEW, IL 60026-8001
Phone number: 302-764-7268
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Mailing Address
THERESA NICHOLS COTA/L
317 BEVERLY PL
BELLEFONTE, DE 19809-2907
Phone number: 302-593-2132
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