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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DOMINIQUE DEVON NELSON

Active Sole Proprietor

DOMINIQUE DEVON NELSON is a Occupational Therapy Assistant healthcare provider located in CRESTWOOD, Illinois. NPI 1922770429 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · CRESTWOOD, IL

Registration Details

NPI Number
1922770429
Provider Type
Individual
Gender
Female
NPI Issued
Oct 2, 2021 (4.849328622082 yrs)
Last Updated
Oct 2, 2021
License
057.005651 (IL)
Sole Proprietor
Yes

Practice Information

Address
13259 S CENTRAL AVE
CRESTWOOD, IL, 604182901
Browse IL providers · Browse ZIP 60418
Phone
7085971000
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in CRESTWOOD, IL

Name Credential NPI
DIANA DALEY COTA 1033645643
MRS. ERICA M COLEMAN COTA/L 1255801734
KELLY JEAN JORDAN 1770208837
MRS. HOLLY BIVONA 1043936933
SUMAIEH JABER COTA/L 1235993866
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.