April R Walters, DT

Individual provider Active NPI Developmental Therapist · Chapin, IL

NPI 1992913487 · NPPES record last updated Aug 7, 2019

Key facts

NPI
1992913487
Entity type
Individual (NPI type 1)
Primary specialty
Developmental Therapist 222Q00000X
License
AS23000899P (IL)
Practice address
812 Poplar St.
Chapin, IL 62628
Phone
(217) 248-1823
NPI assigned
May 18, 2007
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

State licenses

LicenseStateTypeSpecialty
AS23000899PILMDDevelopmental Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X AS23000899P IL Yes

Addresses

Primary practice location

812 Poplar St.
Chapin, IL 62628

Mailing address

PO Box 181
Chapin, IL 62628-0181
Phone (217) 248-1823

Other providers in Chapin, IL

All providers in Chapin, IL · Developmental Therapist in Illinois

Sources for this page

Verify at the official NPI Registry.