Nicole De Vera
Nicole De Vera is an Occupational Therapy Assistant in Rockford, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2021
Practice location Address checks out
4401 N Main StRockford, IL 61103-1277
Phone: (815) 921-9200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapy Assistant (primary) | Taxonomy 224Z00000X · Licence 057.005510 (IL) |
|---|
Record details
| NPI number | 1558952218 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 26, 2021 |
| Last updated in NPPES | January 26, 2021 |
| Certification date | January 26, 2021 |
| Mailing address | 4742 Cardamon Ln, Rockford, IL 61114-5320 |
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