Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dominique Devon Nelson

Individual provider Occupational Therapy Assistant · NPI 1922770429

Dominique Devon Nelson is an Occupational Therapy Assistant in Crestwood, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2021

Practice location Address checks out

13259 S Central Ave
Crestwood, IL 60418-2901
Phone: (708) 597-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 057.005651 (IL)

Record details

NPI number1922770429
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 2, 2021
Last updated in NPPESOctober 2, 2021
Certification dateOctober 2, 2021
Mailing address3728 215th St, Matteson, IL 60443-2754

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