Dawn Anderson
Individual provider Active NPI Developmental Therapist · Brookfield, IL
NPI 1346567435 · NPPES record last updated Apr 28, 2010
Key facts
- NPI
- 1346567435
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 4112 Raymond Ave
Brookfield, IL 60513-1822 - Phone
- (708) 369-3956
- NPI assigned
- Apr 28, 2010
- 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
4112 Raymond Ave
Brookfield, IL 60513-1822
Mailing address
4112 Raymond Ave
Brookfield, IL 60513-1822
Phone (708) 369-3956
Other providers in Brookfield, IL
- Acology Inc
- Kelly Walsh Adamik
- Advanced Critical Transport, LLC
- Wendy Marie Alvarez
- Melissa Amison
- Ar Kids Therapy
- Blanca Antonia Arenas
- Jessica Avila-Merlin
- Mayra Avila
- Theresa Marion Bakula
All providers in Brookfield, 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 28, 2010. 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.