Mary Nissen, OTR/L

NPI #1548599707 in Mundelein, Illinois

Provider Information

NPI Number: 1548599707
Entity Type: Individual
Name: Mary Nissen, OTR/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: OTR/L
Enumeration Date: Dec 17, 2009
Last Updated: Dec 17, 2009

Practice Location

Address: 328 N SHADDLE AVE
City: Mundelein
State: Illinois
ZIP Code: 60060-2411
Phone: (847) 566-9860

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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