Nicole Storms
NPI #1124431945 in Harrisburg, Illinois
Provider Information
- NPI Number
- 1124431945
- Entity Type
- Individual
- Name
- Nicole Storms
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Jun 9, 2014
- Last Updated
- Jun 9, 2014
Practice Location
- Address
- 208 CHEROKEE DR
- City
- Harrisburg
- State
- Illinois
- ZIP Code
- 62946-3796
- Phone
- (618) 841-8431
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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