Individual provider · Type 1 NPI
Mallory Willenbring, M.S., DT
Developmental Therapist · Oak Park, IL
Practice location
429 S Taylor Ave Apt 2S
Oak Park, IL 60302-4363
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 1063722734
Mallory Willenbring, M.S., DT's National Provider Identifier is 1063722734, issued on Oct 15, 2010. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Oak Park, IL. The record was last updated on Aug 6, 2012.