Individual provider · Type 1 NPI

Shannon D. Nichols, OTR/L

Occupational Therapist · Chicago, IL

NPI number 1508693722 Active

Practice location

600 W Roosevelt Rd Ste 2E
Chicago, IL 60607-4912

Mailing address

3853 S Calumet Ave # A
Chicago, IL 60653-1706

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X056.016186 (IL)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1508693722

Shannon D. Nichols, OTR/L's National Provider Identifier is 1508693722, issued on Sep 19, 2024. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Chicago, IL. The record was last updated on Sep 19, 2024.