Danielle Daletski

Individual provider Active NPI Developmental Therapist · Manhattan, IL

NPI 1023312758 · NPPES record last updated Jan 10, 2011

Key facts

NPI
1023312758
Entity type
Individual (NPI type 1)
Primary specialty
Developmental Therapist 222Q00000X
Practice address
25367 Faraday Rd
Manhattan, IL 60442-6211
Phone
(815) 603-2105
NPI assigned
Jan 10, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X Yes

Addresses

Primary practice location

25367 Faraday Rd
Manhattan, IL 60442-6211

Mailing address

25367 Faraday Rd
Manhattan, IL 60442-6211
Phone (815) 603-2105

Other providers in Manhattan, IL

All providers in Manhattan, IL · Developmental Therapist in Illinois

Sources for this page

Verify at the official NPI Registry.