Patricia Reed

Individual provider Active NPI Developmental Therapist · Worth, IL

NPI 1467896159 · NPPES record last updated Apr 24, 2013

Key facts

NPI
1467896159
Entity type
Individual (NPI type 1)
Primary specialty
Developmental Therapist 222Q00000X
Practice address
6924 W Crandall Ave
Worth, IL 60482-1431
Phone
(708) 212-7273
NPI assigned
Apr 24, 2013
Sex
Female
Sole proprietor
No

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

6924 W Crandall Ave
Worth, IL 60482-1431

Mailing address

6924 W Crandall Ave
Worth, IL 60482-1431

Other providers in Worth, IL

All providers in Worth, IL · Developmental Therapist in Illinois

Sources for this page

Verify at the official NPI Registry.