Nicolle D Retzlaff, OT

NPI #1861764607 in Belleville, Illinois

Provider Information

NPI Number: 1861764607
Entity Type: Individual
Name: Nicolle D Retzlaff, OT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Feb 8, 2012
Last Updated: Feb 8, 2012

Practice Location

Address: 2810 FRANK SCOTT PKWY W
Address 2: SUITE 824
City: Belleville
State: Illinois
ZIP Code: 62223-5007
Phone: (618) 234-9705

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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