Nicole Jefferson
Nicole Jefferson is an Occupational Therapist in Valparaiso, Indiana. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2020
Practice location Address checks out
1306 Baron CtValparaiso, IN 46383-4479
Phone: (219) 315-7421
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 057005417 (IL) |
|---|
Record details
| NPI number | 1053934257 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 21, 2020 |
| Last updated in NPPES | May 21, 2020 |
| Certification date | May 21, 2020 |
| Mailing address | 1306 Baron Ct, Valparaiso, IN 46383-4479 |
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