Michelle Peterson DEVELOPMENTAL THERAP

NPI 1619169901 - Developmental Therapist - 222Q00000X

NPI Details
NPI 1619169901
Gender Female
Enumeration Date 08/10/2007
Last Updated 08/10/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
579 RIFORD RD
GLEN ELLYN IL, 60137-4236, US
Phone (630) 858-2336
Fax (630) 942-0377
Business Location
579 RIFORD RD
GLEN ELLYN IL, 60137-4236, US
Phone (630) 858-2336
Fax (630) 942-0377
Toxanomy
Taxonomy Code 222Q00000X
License State
License Number
Remove 1619169901 NPI Number
 

According to our database, Mrs. Michelle Peterson DEVELOPMENTAL THERAP NPI is 1619169901, taxonomy code is 222Q00000X Michelle Peterson DEVELOPMENTAL THERAP physically located at 579 Riford Rd, Glen Ellyn IL, 60137-4236. NPI Number Michelle Peterson DEVELOPMENTAL THERAP has the Individual type.

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1619169901 NPI number is provided on an as is basis without warranty of any kind. 1619169901 is maintained by the National Plan & Provider Enumeration System. The contents of Michelle Peterson DEVELOPMENTAL THERAP are for informational purposes only.