MRS. Nicole Lavanway, COTA

NPI #1326626334 in Peru, Illinois

Provider Information

NPI Number
1326626334
Entity Type
Individual
Name
MRS. Nicole Lavanway, COTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
Mar 31, 2021
Last Updated
Mar 31, 2021

Practice Location

Address
1301 21ST ST
City
Peru
ZIP Code
61354-1359
Phone
(815) 223-4901

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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