DOMINIQUE DEVON NELSON

CRESTWOOD, IL
NPI1922770429
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057.005651)
Enumeration Date2021-10-02
Last Update Date2021-10-02
Business Address
DOMINIQUE DEVON NELSON
13259 S CENTRAL AVE
CRESTWOOD, IL 60418-2901
Phone number: 708-597-1000
Mailing Address
DOMINIQUE DEVON NELSON
3728 215TH ST
MATTESON, IL 60443-2754
Phone number: 708-774-7041
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