Provider Demographics
NPI:1861647620
Name:JAVIOR, NANCY (OTR)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:
Last Name:JAVIOR
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11824 SOUTHWEST HWY
Mailing Address - Street 2:SUITE 230
Mailing Address - City:PALOS HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60463-1055
Mailing Address - Country:US
Mailing Address - Phone:708-671-1175
Mailing Address - Fax:708-671-1176
Practice Address - Street 1:11824 SOUTHWEST HWY
Practice Address - Street 2:SUITE 230
Practice Address - City:PALOS HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60463-1055
Practice Address - Country:US
Practice Address - Phone:708-671-1175
Practice Address - Fax:708-671-1176
Is Sole Proprietor?:No
Enumeration Date:2008-11-20
Last Update Date:2008-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056.002711225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics