Individual provider · Type 1 NPI
Katie Elizabeth Roderfeld
Developmental Therapist · Alton, IL
Practice location
3800 Tropical Breeze Ky
Alton, IL 62002-7979
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | None listed |
Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…
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About NPI 1013494152
Katie Elizabeth Roderfeld's National Provider Identifier is 1013494152, issued on Jul 22, 2018. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Alton, IL. The record was last updated on Jul 22, 2018.