Jeanie Christine Bree
Individual provider Active NPI Developmental Therapist · Gridley, IL
NPI 1164698155 · NPPES record last updated Apr 30, 2008
Key facts
- NPI
- 1164698155
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 211 W 6TH St
Gridley, IL 61744-9774 - Phone
- (309) 287-7598
- NPI assigned
- Apr 30, 2008
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Yes |
Addresses
Primary practice location
211 W 6TH St
Gridley, IL 61744-9774
Mailing address
211 W 6TH St
Gridley, IL 61744-9774
Phone (309) 287-7598
Other providers in Gridley, IL
- Stephen T. Blue
- Gibson Pediatric Speech Services
- Melissa Gibson
- Gridley Fire Protection District
- Caleb Joseph Kaupp
- Charles L. Proesel Jr.
All providers in Gridley, IL · Developmental Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.