Aleida Anahi Jaimes-Correa, D.T

Individual provider Active NPI Developmental Therapist · Whiting, IN

NPI 1124368352 · NPPES record last updated Feb 25, 2013

Key facts

NPI
1124368352
Entity type
Individual (NPI type 1)
Primary specialty
Developmental Therapist 222Q00000X
Practice address
1716 Sheridan Ave
Whiting, IN 46394-1729
Phone
(312) 324-0392
NPI assigned
Feb 25, 2013
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

1716 Sheridan Ave
Whiting, IN 46394-1729

Mailing address

1716 Sheridan Ave
Whiting, IN 46394-1729
Phone (312) 324-0392

Other providers in Whiting, IN

All providers in Whiting, IN · Developmental Therapist in Indiana

Sources for this page

Verify at the official NPI Registry.