Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. NICOLE LAVANWAY, COTA
ActiveMRS. NICOLE LAVANWAY, COTA is a Occupational Therapy Assistant healthcare provider located in PERU, Illinois. NPI 1326626334 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · PERU, IL
Registration Details
- NPI Number
- 1326626334
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 31, 2021 (5.3631915605525 yrs)
- Last Updated
- Mar 31, 2021
- License
-
057005551 (IL)
Practice Information
- Address
-
1301 21ST STPERU, IL, 613541359Browse IL providers · Browse ZIP 61354
- Phone
- 8152234901
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.